Dr Justin Grisham, DO - Medicare Emergency Medicine in Ft Carson, CO

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Dr Justin Grisham, DO is a medicare enrolled "Emergency Medicine" physician in Ft Carson, Colorado. His current practice location is 1650 Cochrane Cir, Ft Carson, Colorado. You can reach out to his office (for appointments etc.) via phone at (801) 815-0920.

Dr Justin Grisham is licensed to practice in Kansas (license number 05-49286) 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 1427417062.

Contact Information

Dr Justin Grisham, DO
1650 Cochrane Cir,
Ft Carson, CO 80913-4613
(801) 815-0920
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin Grisham
GenderMale
SpecialityEmergency Medicine
Location1650 Cochrane Cir, Ft Carson, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427417062
  • Provider Enumeration Date: 02/10/2016
  • Last Update Date: 06/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052709912
  • Enrollment ID: I20211026000744

Medical Identifiers

Medical identifiers for Dr Justin Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427417062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine DR.0065361 (Colorado)Secondary
207P00000XEmergency Medicine 05-49286 (Kansas)Primary

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 Justin Grisham allows following entities to bill medicare on his behalf.
Entity NameUniversity Physicians Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375
Entity NameSouthwest Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649241571
PECOS PAC ID: 5890699326
Enrollment ID: O20031125000607
Entity NameEmergency Service Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326097668
PECOS PAC ID: 1557255882
Enrollment ID: O20040209001037
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122
Entity NameUsacs Community Emergency Services Of Colorado Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053824979
PECOS PAC ID: 2466711536
Enrollment ID: O20180117002329

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 Justin 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 AddressPractice Location Address
Dr Justin Grisham, DO
1650 Cochrane Cir,
Ft Carson, CO 80913-4613

Ph: () -		Dr Justin Grisham, DO
1650 Cochrane Cir,
Ft Carson, CO 80913-4613

Ph: (801) 815-0920

Reviews and Comments


Emergency Medicine Doctors in Ft Carson, CO

Dr. Charles Lane Taylor, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1650 Cochrane Cir, Evans Army Community Hospital, Ft Carson, CO 80913
Phone: 701-526-7000    
Dr. John Hughes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Tmc 9 Barkeley Road, Ft Carson, CO 90813
Phone: 719-527-2047    
Dr. Mario Soto, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Cochrane Cir, Ft Carson, CO 80913
Phone: 719-524-3306    
Dr. Genevieve Hillis, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1650 Cochrane Cir # B7500, Ft Carson, CO 80913
Phone: 719-526-7000    

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.