Johnsie Carol Grigg, MD is a medicare enrolled "Family Medicine" physician in Holly Hill, Florida. Her current practice location is
1340 Ridgewood Ave, Holly Hill, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 676-7130.
Johnsie Carol Grigg is licensed to practice in Florida (license number ME47294) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932102159.
Physician's Profile
Full Name | Johnsie Carol Grigg |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 1340 Ridgewood Ave, Holly Hill, Florida |
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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: 1932102159
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 06/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779574413
- Enrollment ID: I20040525000294
Medical Identifiers
Medical identifiers for Johnsie Carol Grigg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932102159 | NPI | - | NPPES |
04633 | Other | FL | BLUE CROSS BLUE SHIELD |
P00149413 | Other | FL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | ME47294 (Florida) | Primary |
207P00000X | Emergency Medicine | ME47294 (Florida) | 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. Johnsie Carol Grigg allows following entities to bill medicare on her behalf.
Entity Name | Primecare At Twin Lakes Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902809122 PECOS PAC ID: 3072591924 Enrollment ID: O20040708000867 |
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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. Johnsie Carol Grigg 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 |
Johnsie Carol Grigg, MD Po Box 9671, Daytona Beach, FL 32120-9671 Ph: (386) 676-7130 | Johnsie Carol Grigg, MD 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 Ph: (386) 676-7130 |
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