Alyssa Grissom, APN, AGCNS is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Cedar Rapids, Iowa. Her current practice location is
202 10th St Se Ste 285, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 369-7816.
Alyssa Grissom is licensed to practice in Iowa (license number W178806) 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 1790213932.
Provider's Profile
Full Name | Alyssa Grissom |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Oncology |
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Location | 202 10th St Se Ste 285, Cedar Rapids, Iowa |
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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: 1790213932
- Provider Enumeration Date: 06/01/2017
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698117612
- Enrollment ID: I20240522002769
Medical Identifiers
Medical identifiers for Alyssa Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790213932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 209014163 (Illinois) | Secondary |
364SX0200X | Clinical Nurse Specialist - Oncology | W178806 (Iowa) | 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. Alyssa Grissom allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Methodist Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073553939 PECOS PAC ID: 6608786751 Enrollment ID: O20040204000942 |
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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. Alyssa Grissom 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 |
Alyssa Grissom, APN, AGCNS 202 10th St Se Ste 285, Cedar Rapids, IA 52403-2437 Ph: (319) 369-7816 | Alyssa Grissom, APN, AGCNS 202 10th St Se Ste 285, Cedar Rapids, IA 52403-2437 Ph: (319) 369-7816 |
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