Grant Robert Carlisle, - Medicare Ophthalmology in Grand Rapids, MN

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Grant Robert Carlisle, is a medicare enrolled "Ophthalmology" physician in Grand Rapids, Minnesota. His current practice location is 1542 Golf Course Rd Ste 201, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 326-3433.

Grant Robert Carlisle is licensed to practice in Minnesota (license number 76307) 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 1063075224.

Contact Information

Grant Robert Carlisle,
1542 Golf Course Rd Ste 201,
Grand Rapids, MN 55744-3537
(218) 326-3433
(218) 326-3435

Map and Direction




Physician's Profile

Full NameGrant Robert Carlisle
GenderMale
SpecialityOphthalmology
Location1542 Golf Course Rd Ste 201, Grand Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063075224
  • Provider Enumeration Date: 04/15/2019
  • Last Update Date: 01/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3173957925
  • Enrollment ID: I20240531000607

Medical Identifiers

Medical identifiers for Grant Robert Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063075224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology MD481576 (Pennsylvania)Secondary
207W00000XOphthalmology 76307 (Minnesota)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. Grant Robert Carlisle allows following entities to bill medicare on his behalf.
Entity NameJohn L Bonner Eye Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351817
PECOS PAC ID: 0547243677
Enrollment ID: O20040610000493

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. Grant Robert Carlisle 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
Grant Robert Carlisle,
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 873-3000		Grant Robert Carlisle,
1542 Golf Course Rd Ste 201,
Grand Rapids, MN 55744-3537

Ph: (218) 326-3433

Reviews and Comments


Ophthalmology Doctors in Grand Rapids, MN

Dr. Timothy Charles Bonner, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744
Phone: 218-326-3433    Fax: 218-326-3435
Dr. M. Jerry Zapanta Mariano, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744
Phone: 218-326-3433    Fax: 218-326-3435
James Raymond Spenningsby, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744
Phone: 218-326-3433    Fax: 218-326-3435
Dr. John A Moran, M.D.
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744
Phone: 218-326-3433    Fax: 218-326-3435

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.