| Kaitlin Rose Grigoryev, | |
|
N112w15415 Mequon Rd, Germantown, WI 53022-3410 | |
| (262) 250-7800 | |
| Not Available |
| Full Name | Kaitlin Rose Grigoryev |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | N112w15415 Mequon Rd, Germantown, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619601770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 13152 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlin Rose Grigoryev, 400 W River Woods Pkwy, Glendale, WI 53212-1060 Ph: () - | Kaitlin Rose Grigoryev, N112w15415 Mequon Rd, Germantown, WI 53022-3410 Ph: (262) 250-7800 |
Kaylee Rose Treesh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060 | |
Mrs. Carolyn J Metternich, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N120w13079 Freistadt Rd, Germantown, WI 53022 Phone: 262-707-1229 | |
Dr. Erin Therese Grueneberg, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W153 N9990 Neptune Drive, Germantown, WI 53022 Phone: 608-475-0758 | |
Alyssa Tennies, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060 Fax: 262-532-3467 | |
Dr. Henrietta C Abili, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N112w17975 Mequon Rd, Germantown, WI 53022 Phone: 262-532-7600 | |
Cheryl Kaminski, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: N112w15415 Mequon Rd, Germantown, WI 53022 Phone: 262-250-7800 Fax: 262-257-7982 | |
Jessica Ewig, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: W168n11237 Western Ave, Germantown, WI 53022 Phone: 262-253-5060 |