Laurie A Van Grinsven, PA-C - Physician Assistant in Wautoma, WI

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Laurie A Van Grinsven, PA-C is a Physician Assistant based in Wautoma, Wisconsin. Laurie A Van Grinsven is licensed to practice in Wisconsin (license number 938-023) and her current practice location is 400 S Townline Rd, Wautoma, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 787-5514.

NPI number for Laurie A Van Grinsven is 1366446304 and her current mailing address is Po Box 1440, Wautoma, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366446304.

Contact Information

Laurie A Van Grinsven, PA-C
400 S Townline Rd,
Wautoma, WI 54982
(920) 787-5514
(920) 787-4737

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Provider's Profile

Full NameLaurie A Van Grinsven
GenderFemale
SpecialityPhysician Assistant
Location400 S Townline Rd, Wautoma, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366446304
  • Provider Enumeration Date: 06/08/2005
  • Last Update Date: 08/20/2018

Medical Identifiers

Medical identifiers for Laurie A Van Grinsven such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366446304NPI-NPPES
521823OtherWIMEDICARE PART A - CLINIC
41971000MedicaidWI
521824OtherWIMEDICARE A MOBIL UNIT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 938-023 (Wisconsin)Secondary
363A00000XPhysician Assistant 938-023 (Wisconsin)Primary

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. Laurie A Van Grinsven is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laurie A Van Grinsven, PA-C
Po Box 1440,
Wautoma, WI 54982-1440

Ph: (920) 787-5514		Laurie A Van Grinsven, PA-C
400 S Townline Rd,
Wautoma, WI 54982

Ph: (920) 787-5514

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Physician Assistant Nurses in Wautoma, WI

Miguel Angel Barraza Chavez,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 400 S Townline Rd, Wautoma, WI 54982
Phone: 920-787-5514    

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.