| Stacy Ann Grossman, DNP | |
|
12593 Lower Sylvan Rd Sw, Pillager, MN 56473-2267 | |
| (218) 831-8152 | |
| Not Available |
| Full Name | Stacy Ann Grossman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 12593 Lower Sylvan Rd Sw, Pillager, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538772652 | NPI | - | NPPES |
| 7591 | Medicaid | MN | |
| 7591 | Other | MN | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7591 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ortonville Municipal Hospital | Ortonville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortonville Area Health Services | 2365448768 | 12 |
| Entity Name | Lakewood Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790783587 PECOS PAC ID: 2365448768 Enrollment ID: O20061006000515 |
| Entity Name | Ortonville Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477799765 PECOS PAC ID: 2365448768 Enrollment ID: O20090326000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Ann Grossman, DNP 12593 Lower Sylvan Rd Sw, Pillager, MN 56473-2267 Ph: (218) 831-8152 | Stacy Ann Grossman, DNP 12593 Lower Sylvan Rd Sw, Pillager, MN 56473-2267 Ph: (218) 831-8152 |