Grissa Sandoy Hermoso, AGACNP-BC in Clyde, TX

Grissa Sandoy Hermoso, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Clyde, Texas. Her current practice location is 216 Kennedy St, Clyde, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 386-5103.

Grissa Sandoy Hermoso is licensed to practice in Texas (license number 1132704) 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 1225812852.

Contact Information

	Grissa Sandoy Hermoso, AGACNP-BC
	216 Kennedy St, Clyde, TX 79510-4406
	(325) 386-5103
	Not Available

Map and Direction

Provider's Profile

Full Name	Grissa Sandoy Hermoso
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	216 Kennedy St, Clyde, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225812852
Provider Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7618326471
Enrollment ID: I20231206000911

Medical Identifiers

Medical identifiers for Grissa Sandoy Hermoso such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225812852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1132704 (Texas)	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. Grissa Sandoy Hermoso allows following entities to bill medicare on her behalf.

Entity Name	Infinite Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20211019000012

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. Grissa Sandoy Hermoso 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
Grissa Sandoy Hermoso, AGACNP-BC 216 Kennedy St, Clyde, TX 79510-4406 Ph: (325) 386-5103	Grissa Sandoy Hermoso, AGACNP-BC 216 Kennedy St, Clyde, TX 79510-4406 Ph: (325) 386-5103

Reviews and Comments

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Grissa Sandoy Hermoso, AGACNP-BC - Medicare Nurse Practitioner in Clyde, TX