| Mr Justin Lee Grose, PMHNP-BC | |
|
928 Sycamore St, Rockport, IN 47635-9283 | |
| (812) 408-3265 | |
| (812) 780-2730 |
| Full Name | Mr Justin Lee Grose |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 928 Sycamore St, Rockport, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225632110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71010999A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Now Counseling Services Llc | 3476817503 | 5 |
| Deaconess Hospital, Inc. | 9032021431 | 382 |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Entity Name | Brentwood Meadows Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528479029 PECOS PAC ID: 9830412956 Enrollment ID: O20141222001827 |
| Entity Name | Now Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962958363 PECOS PAC ID: 3476817503 Enrollment ID: O20180425002784 |
| Mailing Address | Practice 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 |
Natalie Black, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3434 W State Road 66, Rockport, IN 47635 Phone: 812-492-5940 Fax: 812-492-5941 | |
Shelly Christian Gerteisen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541a Main St, Rockport, IN 47635 Phone: 812-618-1128 Fax: 812-618-3081 | |
Angela D Bunner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541a Main St, Rockport, IN 47635 Phone: 812-618-1128 Fax: 812-618-3081 |