Sarah E Grissom, PA-C is a medicare enrolled "Physician Assistant" in Red Bank, Tennessee. Her current practice location is
4101 Dayton Blvd, Red Bank, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 499-7710.
Sarah E Grissom is licensed to practice in Tennessee (license number 3294) 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 1932432416.
Provider's Profile
| Full Name | Sarah E Grissom |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 4101 Dayton Blvd, Red Bank, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932432416
- Provider Enumeration Date: 09/15/2009
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 9335286582
- Enrollment ID: I20170804000207
Medical Identifiers
Medical identifiers for Sarah E Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932432416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 016538 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-01972 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 3294 (Tennessee) | Primary |
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. Sarah E 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 |
|---|
Sarah E Grissom, PA-C
4101 Dayton Blvd,
Red Bank, TN 37415-7156
Ph: (423) 499-7710 | Sarah E Grissom, PA-C
4101 Dayton Blvd,
Red Bank, TN 37415-7156
Ph: (423) 499-7710 |
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