CATHERINE MARTHA DE GRANDVILLE MD NPI 1023299765

Family Medicine in Milwaukee, WI

NPI 1023299765 Individual Female Years of Experience 17 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About CATHERINE DE GRANDVILLE

Catherine De Grandville is a primary care provider established in Milwaukee, Wisconsin and her medical specialization is family medicine with more than 17 years of experience. The NPI number of Catherine De Grandville is 1023299765 and was assigned on November 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 52841-20 (WI). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A primary care provider (PCP) like Catherine Martha De Grandville Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Catherine De Grandville is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Catherine De Grandville is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Aurora St Lukes Medical Center.

NPI

1023299765

Provider Name CATHERINE MARTHA DE GRANDVILLE MD
Provider Location Address2801 W KINNICKINNIC RIVER PKWY SUITE 250 MILWAUKEE, WI 53215
Provider Mailing Address2801 W KINNICKINNIC RIVER PKWY SUITE 250 MILWAUKEE, WI 53215
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-23-2007
Last Update Date10-31-2011


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.52841-20
License StateWI
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

CATHERINE MARTHA DE GRANDVILLE MD
2801 W KINNICKINNIC RIVER PKWY
SUITE 250
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-6732

Get Directions


Mailing Address

CATHERINE MARTHA DE GRANDVILLE MD
2801 W KINNICKINNIC RIVER PKWY
SUITE 250
MILWAUKEE, WI
ZIP 53215
Phone: (414) 649-6732



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8527241033
PECOS Enrollment IDI20110321001053
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 54Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 23Administration of influenza virus vaccine (HCPCS:G0008)
  • 11Administration of pneumococcal vaccine (HCPCS:G0009)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Catherine De Grandville is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
AURORA ST LUKES MEDICAL CENTER2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
(414) 649-6000Acute Care Hospitals520138

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598765471DR. STEVEN C PORT MD
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1821098716MR. JEFFREY W JANIKOWSKI PAC
Individual
Physician Assistant (Medical)2801 W KINNICKINNIC RIVER PKWY SUITE 840
MILWAUKEE, WI 53215
(414) 649-3530
1770583643DR. ROBERT L PANTHER M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1881694743DR. ROBERT W NINNEMAN M.D.
Individual
Internal Medicine (Interventional Cardiology)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1013917962DR. PAUL S BERNSTEIN
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1700886686DR. BERNARD J STALLER M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY SUITE 840
MILWAUKEE, WI 53215
(414) 649-3530
1013917996DR. PRAKASH D SHAH M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY STE 840
MILWAUKEE, WI 53215
(414) 649-3530
1326048216 DEANN CEELEN PA-C
Individual
Physician Assistant (Medical)2801 W KINNICKINNIC RIVER PKWY #840
MILWAUKEE, WI 53215
(414) 649-3530
1356340285DR. LISA A BARATTA M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1821098773DR. ANTHONY G LOCURTO
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1881694735DR. MASSOUD MALEKI M.D.
Individual
Internal Medicine (Cardiovascular Disease)2801 W KINNICKINNIC RIVER PKWY 840
MILWAUKEE, WI 53215
(414) 649-3530
1508866401 LEILA SCHAEFER P.A.-C
Individual
Physician Assistant2801 W KINNICKINNIC RIVER PKWY #1030
MILWAUKEE, WI 53215
(414) 908-6500
1881685998 JULIE ZOLPER PA
Individual
Physician Assistant2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
(414) 384-5111
1346231339DR. ELLIOTT C. SILBAR MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1114918190DR. BARRY H. USOW MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1295726289DR. HAROLD A. JACOBSOHN MD
Individual
Urology2801 W KINNICKINNIC RIVER PKWY STE 370
MILWAUKEE, WI 53215
(414) 672-6006
1194709964MR. RICHARD JOHN BATTIOLA M.D.
Individual
Internal Medicine2801 W KINNICKINNIC RIVER PKWY SUITE 730
MILWAUKEE, WI 53215
(414) 649-7202
1861476624MR. AIJAZ AHMED NOOR M.D.
Individual
Internal Medicine2801 W KINNICKINNIC RIVER PKWY SUITE 730
MILWAUKEE, WI 53215
(414) 649-7202
1306825674DR. ROSEMARIE M BRUEGGEMAN MD
Individual
Ophthalmology2801 W KINNICKINNIC RIVER PKWY STE 170
MILWAUKEE, WI 53215
(414) 385-1277
1952380248 RICHARD E LERNOR MD
Individual
Ophthalmology2801 W KINNICKINNIC RIVER PKWY STE 170
MILWAUKEE, WI 53215
(414) 385-1277

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.