Ms Cynthia Mae Wilson Grillo, DO in Southbridge, MA

Ms Cynthia Mae Wilson Grillo, DO is a medicare enrolled "Pediatrics" physician in Southbridge, Massachusetts. Her current practice location is 100 South St, Suite 102, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 764-3194.

Ms Cynthia Mae Wilson Grillo is licensed to practice in Massachusetts (license number 152581) 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 1366458457.

Contact Information

	Ms Cynthia Mae Wilson Grillo, DO
	100 South St, Suite 102, Southbridge, MA 01550-4051
	(508) 764-3194
	(508) 765-5458

Map and Direction

Physician's Profile

Full Name	Ms Cynthia Mae Wilson Grillo
Gender	Female
Speciality	Pediatrics
Location	100 South St, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366458457
Provider Enumeration Date: 07/31/2006
Last Update Date: 02/01/2012

Medicare PECOS Information:

PECOS PAC ID: 1557422300
Enrollment ID: I20200723001356

Medical Identifiers

Medical identifiers for Ms Cynthia Mae Wilson Grillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366458457	NPI	-	NPPES
220019	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	152581 (Massachusetts)	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. Ms Cynthia Mae Wilson Grillo allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

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. Ms Cynthia Mae Wilson Grillo 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
Ms Cynthia Mae Wilson Grillo, DO 100 South St, Suite 102, Southbridge, MA 01550-4051 Ph: (508) 764-3194	Ms Cynthia Mae Wilson Grillo, DO 100 South St, Suite 102, Southbridge, MA 01550-4051 Ph: (508) 764-3194

Reviews and Comments

Pediatrics Doctors in Southbridge, MA

Dr. Marsha Kay Fearing, MD, MPH, MMSC. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St, Ste 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861
Robert J Giordano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Suite 205, Southbridge, MA 01550 Phone: 508-765-0934 Fax: 508-765-0013
Dr. Anu Radha Pathak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 South St, Southbridge, MA 01550 Phone: 508-765-2700 Fax: 508-764-2563
Diana Rabkina, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St, Suite 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861
Yelena Samofalov, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 South St Ste 102, Southbridge, MA 01550 Phone: 508-765-7860 Fax: 508-765-7861
Dr. Pamela Anne Wilson, D.O. FACOP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Medical Arts Building, Ste 207, Southbridge, MA 01550 Phone: 508-765-9700 Fax: 508-765-9704

Ms Cynthia Mae Wilson Grillo, DO - Medicare Pediatrics in Southbridge, MA