Donald Wesley Grisham, MD is a medicare enrolled "General Practice" physician in Cookeville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice State Of Tennessee and his current practice location is
1100 England Dr, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 528-7531.
Donald Wesley Grisham is licensed to practice in Tennessee (license number MD15257) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245290048.
Physician's Profile
| Full Name | Donald Wesley Grisham |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 42 Years |
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| Location | 1100 England Dr, Cookeville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Donald Wesley Grisham attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1982
NPI Data:
- NPI Number: 1245290048
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830162957
- Enrollment ID: I20040817000893
Medical Identifiers
Medical identifiers for Donald Wesley Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245290048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 15257 (Tennessee) | Secondary |
| 208D00000X | General Practice | MD15257 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State Of Tennessee | 5698687077 | 12 |
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. Donald Wesley Grisham allows following entities to bill medicare on his behalf.
| Entity Name | State Of Tennessee |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487791315
PECOS PAC ID: 5698687077
Enrollment ID: O20031104000309 |
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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. Donald Wesley Grisham 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 |
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Donald Wesley Grisham, MD
1100 England Dr,
Cookeville, TN 38501-0924
Ph: (931) 528-7531 | Donald Wesley Grisham, MD
1100 England Dr,
Cookeville, TN 38501-0924
Ph: (931) 528-7531 |
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