Lynn Marie Dennis, DPM
Individual provider Active NPI Podiatrist · Lincoln, IL
NPI 1972563559 · NPPES record last updated Jul 24, 2016
Key facts
- NPI
- 1972563559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016004829 (IL)
- Practice address
- 604 N Union St Ste 2
Lincoln, IL 62656-1578 - Phone
- (217) 732-9276
- Fax
- (217) 732-9276
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
604 N Union St
Suite 2
Lincoln, IL 62656-1578
Phone (217) 732-9276
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 12 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 657 |
| Removal or shaving of skin growth | 611 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050106000607 | IL | Practitioner - Podiatry | 6406804434 | Practice locations: Lincoln, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016004829 | IL | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016004829 | IL | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004829 | IL |
Addresses
Primary practice location
604 N Union St Ste 2
Lincoln, IL 62656-1578
Mailing address
604 N Union St Ste 2
Lincoln, IL 62656-1578
Phone (217) 732-9276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8422156 | Other | IL | BC BS |
Other names
- Lynn Marie Grzesikowski
Other providers in Lincoln, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.