Dr Jerry Wade Grise, MD - Radiology in Columbia, MO

Dr Jerry Wade Grise, MD is a Radiology - Diagnostic Radiology physician based in Columbia, Missouri. Dr Jerry Wade Grise is licensed to practice in Tennessee (license number 2933) and his current practice location is 2405 Snowberry Cir, Columbia, Missouri. He can be reached at his office (for appointments etc.) via phone at (573) 442-0003.

NPI number for Dr Jerry Wade Grise is 1154621787 and his current mailing address is 1661 International Place Drive, Suite 350, Memphis, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154621787.

Contact Information

Dr Jerry Wade Grise, MD
2405 Snowberry Cir,
Columbia, MO 65201-3576
(573) 442-0003
Not Available

Map and Direction




Physician's Profile

Full NameDr Jerry Wade Grise
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2405 Snowberry Cir, Columbia, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154621787
  • Provider Enumeration Date: 10/29/2010
  • Last Update Date: 10/29/2010

Medical Identifiers

Medical identifiers for Dr Jerry Wade Grise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154621787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2933 (Tennessee)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 Jerry Wade Grise is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry Wade Grise, MD
1661 International Place Drive, Suite 350,
Memphis, TN 38120

Ph: (901) 685-2696
Dr Jerry Wade Grise, MD
2405 Snowberry Cir,
Columbia, MO 65201-3576

Ph: (573) 442-0003

Reviews and Comments


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