Beverly Griswold, FNP-BC in Clovis, NM - Medicare Nurse Practitioner

Beverly Griswold, FNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Clovis, New Mexico. Her current practice location is 2301 N Dr Martin Luther King Jr Blvd, Clovis, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 762-4455.

Beverly Griswold is licensed to practice in New Mexico (license number 72528) 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 1629776430.

Contact Information

	Beverly Griswold, FNP-BC
	2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401
	(575) 762-4455
	Not Available

Map and Direction

Provider's Profile

Full Name	Beverly Griswold
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2301 N Dr Martin Luther King Jr Blvd, Clovis, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629776430
Provider Enumeration Date: 02/21/2023
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4486017431
Enrollment ID: I20230824000958

Medical Identifiers

Medical identifiers for Beverly Griswold such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629776430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1111103 (Texas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	72528 (New Mexico)	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. Beverly Griswold allows following entities to bill medicare on her behalf.

Entity Name	Clovis Family Health Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619046950 PECOS PAC ID: 6002720455 Enrollment ID: O20031118001148

Entity Name	Curry Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508223082 PECOS PAC ID: 1759687064 Enrollment ID: O20160314000822

Entity Name	Fedko Emergency Physicians New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146

Entity Name	Clovis Family Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275239733 PECOS PAC ID: 4284095324 Enrollment ID: O20230804001970

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. Beverly Griswold 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
Beverly Griswold, FNP-BC 1742 County Road 5, Bovina, TX 79009-4011 Ph: () -	Beverly Griswold, FNP-BC 2301 N Dr Martin Luther King Jr Blvd, Clovis, NM 88101-9401 Ph: (575) 762-4455

Reviews and Comments

Nurse Practitioner Nurses in Clovis, NM

Edna R Zapata, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St Ste A1, Clovis, NM 88101 Phone: 575-762-8055 Fax: 575-723-3351
Boniface Ndungu Gitau, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2504 Ashford Dr, Clovis, NM 88101 Phone: 316-768-7991
Ms. Marla Dianne Buckles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 W Casablanca Ave, 27 Medical Group Bldg 1400 Cannon Afb, Clovis, NM 88103 Phone: 505-784-6608 Fax: 505-784-6028
Margaret Hemm, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888 Fax: 575-763-9154
Brittnee Rene Sharp, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2300 N Main St Ste 19a, Clovis, NM 88101 Phone: 575-769-0049
Brandi Deon North, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 Avondale Blvd, Clovis, NM 88101 Phone: 575-309-4805
Carolyn Vavrecan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1521 W 13th St, Clovis, NM 88101 Phone: 575-769-0888

Beverly Griswold, FNP-BC - Medicare Nurse Practitioner in Clovis, NM