Mr Bruce Grissom Jr, in Purvis, MS - Medicare Family Practice

Mr Bruce Grissom Jr, is a medicare enrolled "Family Medicine" physician in Purvis, Mississippi. He went to William Carey University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 102 Shelby Speights Dr, Purvis, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 794-8065.

Mr Bruce Grissom Jr is licensed to practice in Mississippi (license number 27862) 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 1720513617.

Contact Information

	Mr Bruce Grissom Jr,
	102 Shelby Speights Dr, Purvis, MS 39475-4151
	(601) 794-8065
	(601) 794-5650

Map and Direction

Physician's Profile

Full Name	Mr Bruce Grissom Jr
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	102 Shelby Speights Dr, Purvis, Mississippi
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:

Mr Bruce Grissom Jr attended and graduated from William Carey University College Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1720513617
Provider Enumeration Date: 04/27/2017
Last Update Date: 08/27/2020

Medicare PECOS Information:

PECOS PAC ID: 5496170987
Enrollment ID: I20200730002968

Medical Identifiers

Medical identifiers for Mr Bruce Grissom Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720513617	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27862 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Home Care	Hattiesburg, MS	Home health agency

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic, Pa	5193706794	488

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. Mr Bruce Grissom Jr allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Mr Bruce Grissom Jr 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
Mr Bruce Grissom Jr, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-8065	Mr Bruce Grissom Jr, 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8065

Reviews and Comments

Family Medicine Doctors in Purvis, MS

Christopher Ryan Rawls, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5640
Stephen L Harless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650

Mr Bruce Grissom Jr, - Medicare Family Practice in Purvis, MS