Bradley Grissom, NP - Medicare Nurse Practitioner in Danville, IL

Bradley Grissom, NP is a medicare enrolled "Nurse Practitioner" in Danville, Illinois. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Hoopeston Community Memorial Hospital, Carle Health Care Incorporated and his current practice location is 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 554-1700.

Bradley Grissom is licensed to practice in Illinois (license number 209005691) 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 1891830402.

Contact Information

Bradley Grissom, NP
2300 N. Vermilion Avenue, Medical Sub-specialties,
Danville, IL 61832
(217) 554-1700
(217) 554-1704

Map and Direction




Provider's Profile

Full NameBradley Grissom
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location2300 N. Vermilion Avenue, Danville, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley Grissom graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1891830402
  • Provider Enumeration Date: 02/21/2007
  • Last Update Date: 12/27/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8729003827
  • Enrollment ID: I20051007000537

Medical Identifiers

Medical identifiers for Bradley Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891830402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209005691 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Carle Foundation HospitalUrbana, ILHospital
Carle Hoopeston Regional Health CenterHoopeston, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hoopeston Community Memorial Hospital3577456037121
Carle Health Care Incorporated3577515774799

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. Bradley Grissom allows following entities to bill medicare on his behalf.
Entity NameHoopeston Community Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366480873
PECOS PAC ID: 3577456037
Enrollment ID: O20040210000011
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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. Bradley 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 AddressPractice Location Address
Bradley Grissom, NP
P.o. Box 6002,
Urbana, IL 61803-6002

Ph: (217) 326-8300
Bradley Grissom, NP
2300 N. Vermilion Avenue, Medical Sub-specialties,
Danville, IL 61832

Ph: (217) 554-1700

Reviews and Comments


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Phone: 217-431-7650    Fax: 217-431-7634

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.