Tonya Grissam, MD in Fort Lauderdale, FL

Tonya Grissam, MD is a medicare enrolled "Pediatrics" physician in Fort Lauderdale, Florida. Her current practice location is 6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 586-5022.

Tonya Grissam is licensed to practice in Michigan (license number 4301106345) 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 1043385131.

Contact Information

	Tonya Grissam, MD
	6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308-1409
	(800) 586-5022
	(954) 229-9801

Map and Direction

Physician's Profile

Full Name	Tonya Grissam
Gender	Female
Speciality	Pediatrics
Location	6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043385131
Provider Enumeration Date: 11/22/2006
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8022376938
Enrollment ID: I20171226001652

Medical Identifiers

Medical identifiers for Tonya Grissam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043385131	NPI	-	NPPES
000960913D	Medicaid	GA
000960913I	Medicaid	GA
000960913H	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4301106345 (Michigan)	Primary
208000000X	Pediatrics	051567 (Georgia)	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. Tonya Grissam allows following entities to bill medicare on her behalf.

Entity Name	Southern Monterey County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803

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. Tonya Grissam 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
Tonya Grissam, MD 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308-1409 Ph: (800) 586-5022	Tonya Grissam, MD 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308-1409 Ph: (800) 586-5022

Reviews and Comments

Pediatrics Doctors in Fort Lauderdale, FL

Dianne Mattox Parker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 S Andrews Ave, Newborn Nursery, Fort Lauderdale, FL 33316 Phone: 954-355-5810
Dr. Paula Michele Thaqi, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 780 Sw 24th St, Fort Lauderdale, FL 33315 Phone: 954-467-4700 Fax: 954-467-4704
Alexis Dietz, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304 Phone: 954-300-1736
Dr. Natasha Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316 Phone: 954-832-0332 Fax: 954-832-0289
Johanna Albrecht, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Nw 7th Ave, Fort Lauderdale, FL 33311 Phone: 954-759-6600 Fax: 954-759-6665
John Russell Livengood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 780 Sw 24th St, Medical Administration, Fort Lauderdale, FL 33315 Phone: 954-467-4822

Tonya Grissam, MD - Medicare Pediatrics in Fort Lauderdale, FL