Michael Emanuel Grillis, DO is a medicare enrolled "Surgery" physician in Fremont, Ohio. He went to West Virginia School Of Osteopathic Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Memorial Professional Services Ltd and his current practice location is
2281 Hayes Ave, Fremont, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 355-8488.
Michael Emanuel Grillis is licensed to practice in Ohio (license number 34004664) 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 1508974494.
Physician's Profile
Full Name | Michael Emanuel Grillis |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 47 Years |
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Location | 2281 Hayes Ave, Fremont, Ohio |
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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. |
Medical Education and Training:
- Michael Emanuel Grillis attended and graduated from West Virginia School Of Osteopathic Medicine in 1977
NPI Data:
- NPI Number: 1508974494
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 8123108396
- Enrollment ID: I20100802000067
Medical Identifiers
Medical identifiers for Michael Emanuel Grillis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508974494 | NPI | - | NPPES |
0739964 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 34004664 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Memorial Professional Services Ltd | 1456531870 | 37 |
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. Michael Emanuel Grillis allows following entities to bill medicare on his behalf.
Entity Name | Memorial Professional Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205139623 PECOS PAC ID: 1456531870 Enrollment ID: O20110202000164 |
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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. Michael Emanuel Grillis 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 |
Michael Emanuel Grillis, DO 220 County Road 398, Fremont, OH 43420-9253 Ph: (419) 334-4383 | Michael Emanuel Grillis, DO 2281 Hayes Ave, Fremont, OH 43420-2632 Ph: (419) 355-8488 |
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