Mr Grissim Clark Connery, DO, RD - Medicare in Las Vegas, NV

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Mr Grissim Clark Connery, DO, RD is a medicare enrolled "Internal Medicine" provider in Las Vegas, Nevada. His current practice location is 1707 W Charleston Blvd Ste 100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 676-3650.

Mr Grissim Clark Connery is licensed to practice in Nevada (license number DO3640) 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 1427317155.

Contact Information

Mr Grissim Clark Connery, DO, RD
1707 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-2352
(702) 676-3650
(702) 671-5198

Map and Direction




Healthcare Provider's Profile

Full NameMr Grissim Clark Connery
GenderMale
SpecialityInternal Medicine
Location1707 W Charleston Blvd Ste 100, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427317155
  • Provider Enumeration Date: 05/15/2012
  • Last Update Date: 07/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254735871
  • Enrollment ID: I20210804001858

Medical Identifiers

Medical identifiers for Mr Grissim Clark Connery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427317155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1086129 (Illinois)Secondary
207R00000XInternal Medicine DO3640 (Nevada)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. Mr Grissim Clark Connery 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
Mr Grissim Clark Connery, DO, RD
3016 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-1973

Ph: (702) 780-2315		Mr Grissim Clark Connery, DO, RD
1707 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-2352

Ph: (702) 676-3650

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.