Dr Jordan Grilliot, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Troy, Ohio. His current practice location is
3130 N County Road 25a Ste 116, Troy, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 335-3561.
Dr Jordan Grilliot is licensed to practice in Louisiana (license number 330890) 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 1366979007.
Physician's Profile
Full Name | Dr Jordan Grilliot |
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Gender | Male |
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Speciality | Orthopaedic Surgery - Sports Medicine |
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Location | 3130 N County Road 25a Ste 116, Troy, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366979007
- Provider Enumeration Date: 05/12/2017
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274918321
- Enrollment ID: I20220910000193
Medical Identifiers
Medical identifiers for Dr Jordan Grilliot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366979007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 330890 (Louisiana) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Dr Jordan Grilliot allows following entities to bill medicare on his behalf.
Entity Name | Ochsner Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
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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. Dr Jordan Grilliot 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 Jordan Grilliot, DO 2211 Northbridge Trl, Troy, OH 45373-4667 Ph: (937) 626-3110 | Dr Jordan Grilliot, DO 3130 N County Road 25a Ste 116, Troy, OH 45373-1337 Ph: (937) 335-3561 |
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