Mariola U Grzeszczyk, APRN - Medicare Nurse Practitioner in Rockford, IL

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Mariola U Grzeszczyk, APRN is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. Her current practice location is 5875 E Riverside Blvd, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 398-9491.

Mariola U Grzeszczyk is licensed to practice in Illinois (license number 209022930) 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 1003425463.

Contact Information

Mariola U Grzeszczyk, APRN
5875 E Riverside Blvd,
Rockford, IL 61114-4937
(815) 398-9491
(815) 381-7498

Map and Direction




Provider's Profile

Full NameMariola U Grzeszczyk
GenderFemale
SpecialityNurse Practitioner
Location5875 E Riverside Blvd, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003425463
  • Provider Enumeration Date: 07/30/2020
  • Last Update Date: 02/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628416344
  • Enrollment ID: I20240401001592

Medical Identifiers

Medical identifiers for Mariola U Grzeszczyk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003425463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2019055819 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209022930 (Illinois)Secondary
363L00000XNurse Practitioner 209022930 (Illinois)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. Mariola U Grzeszczyk allows following entities to bill medicare on her behalf.
Entity NameOrthomidwest, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730136474
PECOS PAC ID: 0749183713
Enrollment ID: O20040128000533
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279
Entity NameCermak Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518498393
PECOS PAC ID: 7113269242
Enrollment ID: O20190422000151

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. Mariola U Grzeszczyk 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
Mariola U Grzeszczyk, APRN
40 75th St,
Willowbrook, IL 60527-2325

Ph: (630) 581-5372		Mariola U Grzeszczyk, APRN
5875 E Riverside Blvd,
Rockford, IL 61114-4937

Ph: (815) 398-9491

Reviews and Comments


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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.