Dr Kenneth L Grizzle, PHD - Medicare Psychologist in Brookfield, WI

Dr Kenneth L Grizzle, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Brookfield, Wisconsin. His current practice location is 13800 W North Ave, Child Development Center Of Chw, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 432-6600.

Dr Kenneth L Grizzle is licensed to practice in Wisconsin (license number 2187) 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 1912958737.

Contact Information

Dr Kenneth L Grizzle, PHD
13800 W North Ave, Child Development Center Of Chw,
Brookfield, WI 53005-4977
(262) 432-6600
(262) 432-6604

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth L Grizzle
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location13800 W North Ave, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912958737
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 11/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7618051087
  • Enrollment ID: I20080222000579

Medical Identifiers

Medical identifiers for Dr Kenneth L Grizzle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912958737NPI-NPPES
005000215GOtherHUMANA
1912958737MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 2187 (Wisconsin)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. Dr Kenneth L Grizzle allows following entities to bill medicare on his behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259

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. Dr Kenneth L Grizzle 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
Dr Kenneth L Grizzle, PHD
13800 W North Ave, Child Development Center Of Chw,
Brookfield, WI 53005-4977

Ph: (262) 432-6600
Dr Kenneth L Grizzle, PHD
13800 W North Ave, Child Development Center Of Chw,
Brookfield, WI 53005-4977

Ph: (262) 432-6600

Reviews and Comments


Psychologist in Brookfield, WI

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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.

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