Kaitlin Rose Grigoryev, - Medicare Nurse Practitioner in Germantown, WI

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Kaitlin Rose Grigoryev, is a medicare enrolled "Nurse Practitioner - Family" in Germantown, Wisconsin. Her current practice location is N112w15415 Mequon Rd, Germantown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 250-7800.

Kaitlin Rose Grigoryev is licensed to practice in Wisconsin (license number 13152) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619601770.

Contact Information

Kaitlin Rose Grigoryev,
N112w15415 Mequon Rd,
Germantown, WI 53022-3410
(262) 250-7800
Not Available

Map and Direction




Provider's Profile

Full NameKaitlin Rose Grigoryev
GenderFemale
SpecialityNurse Practitioner - Family
LocationN112w15415 Mequon Rd, Germantown, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619601770
  • Provider Enumeration Date: 07/14/2022
  • Last Update Date: 02/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820440027
  • Enrollment ID: I20240123002591

Medical Identifiers

Medical identifiers for Kaitlin Rose Grigoryev such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619601770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13152 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaitlin Rose Grigoryev allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaitlin Rose Grigoryev is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


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Dr. Henrietta C Abili, APNP
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Cheryl Kaminski, APNP
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Phone: 262-250-7800    Fax: 262-257-7982
Jessica Ewig, APNP
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Practice Location: W168n11237 Western Ave, Germantown, WI 53022
Phone: 262-253-5060    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.