Jeffrey William Grisham, MD is a medicare enrolled "Ophthalmology" physician in Bartlesville, Oklahoma. He went to University Of Oklahoma College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Triad Eye Institute Pllc and his current practice location is
3615 Se Kentucky St, Bartlesville, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 333-2020.
Jeffrey William Grisham is licensed to practice in Oklahoma (license number 15291) 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 1871598011.
Physician's Profile
| Full Name | Jeffrey William Grisham |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 40 Years |
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| Location | 3615 Se Kentucky St, Bartlesville, Oklahoma |
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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:
- Jeffrey William Grisham attended and graduated from University Of Oklahoma College Of Medicine in 1984
NPI Data:
- NPI Number: 1871598011
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 08/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830136530
- Enrollment ID: I20120220000325
Medical Identifiers
Medical identifiers for Jeffrey William Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871598011 | NPI | - | NPPES |
| 100102110A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 15291 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Triad Eye Institute Pllc | 6507083557 | 24 |
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. Jeffrey William Grisham allows following entities to bill medicare on his behalf.
| Entity Name | Triad Eye Institute Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093743213
PECOS PAC ID: 6507083557
Enrollment ID: O20140918000152 |
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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. Jeffrey William 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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Jeffrey William Grisham, MD
3615 Se Kentucky St,
Bartlesville, OK 74006-2324
Ph: (918) 333-2020 | Jeffrey William Grisham, MD
3615 Se Kentucky St,
Bartlesville, OK 74006-2324
Ph: (918) 333-2020 |
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