Mr Michael Terrell Grissom, CRNP in Madison, AL

Mr Michael Terrell Grissom, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Madison, Alabama. His current practice location is 8375 Highway 72 W, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 265-2012.

Mr Michael Terrell Grissom is licensed to practice in Alabama (license number 1-131578) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649649138.

Contact Information

	Mr Michael Terrell Grissom, CRNP
	8375 Highway 72 W, Madison, AL 35758-9573
	(256) 265-2012
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael Terrell Grissom
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	8375 Highway 72 W, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649649138
Provider Enumeration Date: 09/15/2015
Last Update Date: 09/15/2015

Medicare PECOS Information:

PECOS PAC ID: 1658676028
Enrollment ID: I20160223000871

Medical Identifiers

Medical identifiers for Mr Michael Terrell Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649649138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	1-131578 (Alabama)	Primary
363LG0600X	Nurse Practitioner - Gerontology	1-131578 (Alabama)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	1-131578 (Alabama)	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. Mr Michael Terrell Grissom allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395

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. Mr Michael Terrell 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
Mr Michael Terrell Grissom, CRNP 303 Kimberly Ave, Muscle Shoals, AL 35661-3768 Ph: (256) 394-3612	Mr Michael Terrell Grissom, CRNP 8375 Highway 72 W, Madison, AL 35758-9573 Ph: (256) 265-2012

Reviews and Comments

Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756 Phone: 256-724-7714 Fax: 256-724-7065
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994
Erin Stinnett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7500 Highway 72 W, Madison, AL 35758 Phone: 256-964-8338

Mr Michael Terrell Grissom, CRNP - Medicare Nurse Practitioner in Madison, AL