Dr Rodger Lance Grissett, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Fairhope, Alabama. His current practice location is
19748 S Greeno Rd, Fairhope, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 990-5959.
Dr Rodger Lance Grissett is licensed to practice in Alabama (license number AL4925) 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 1952416869.
Healthcare Provider's Profile
| Full Name | Dr Rodger Lance Grissett |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 19748 S Greeno Rd, Fairhope, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952416869
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840215844
- Enrollment ID: I20140721001395
Medical Identifiers
Medical identifiers for Dr Rodger Lance Grissett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952416869 | NPI | - | NPPES |
| 51517934 | Other | AL | BCBS OF AL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | AL4925 (Alabama) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | AL4925 (Alabama) | Primary |
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 Rodger Lance Grissett 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 Address | Practice Location Address |
|---|
Dr Rodger Lance Grissett, DDS
19748 S Greeno Rd,
Fairhope, AL 36532
Ph: (251) 990-5959 | Dr Rodger Lance Grissett, DDS
19748 S Greeno Rd,
Fairhope, AL 36532
Ph: (251) 990-5959 |
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