Mr Justin Lee Grose, PMHNP-BC - Medicare Nurse Practitioner in Rockport, IN

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Mr Justin Lee Grose, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rockport, Indiana. His current practice location is 928 Sycamore St, Rockport, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 408-3265.

Mr Justin Lee Grose is licensed to practice in Indiana (license number 71010999A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225632110.

Contact Information

Mr Justin Lee Grose, PMHNP-BC
928 Sycamore St,
Rockport, IN 47635-9283
(812) 408-3265
(812) 780-2730

Map and Direction




Provider's Profile

Full NameMr Justin Lee Grose
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location928 Sycamore St, Rockport, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225632110
  • Provider Enumeration Date: 11/23/2020
  • Last Update Date: 05/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9739578105
  • Enrollment ID: I20211105002255

Medical Identifiers

Medical identifiers for Mr Justin Lee Grose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225632110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 71010999A (Indiana)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. Mr Justin Lee Grose allows following entities to bill medicare on his behalf.
Entity NameDeaconess Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427097443
PECOS PAC ID: 9032021431
Enrollment ID: O20040115000129
Entity NameBrentwood Meadows Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528479029
PECOS PAC ID: 9830412956
Enrollment ID: O20141222001827
Entity NameNow Counseling Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962958363
PECOS PAC ID: 3476817503
Enrollment ID: O20180425002784

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. Mr Justin Lee Grose 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
Mr Justin Lee Grose, PMHNP-BC
221 Main St,
Grandview, IN 47615-9469

Ph: (812) 408-3265		Mr Justin Lee Grose, PMHNP-BC
928 Sycamore St,
Rockport, IN 47635-9283

Ph: (812) 408-3265

Reviews and Comments


Nurse Practitioner Nurses in Rockport, IN

Natalie Black, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3434 W State Road 66, Rockport, IN 47635
Phone: 812-492-5940    Fax: 812-492-5941
Shelly Christian Gerteisen, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 541a Main St, Rockport, IN 47635
Phone: 812-618-1128    Fax: 812-618-3081
Angela Denise Bunner, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 541a Main St, Rockport, IN 47635
Phone: 812-618-1128    Fax: 812-618-3081

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.