Susan Hammond Grosslight, NP is a medicare enrolled "Family Medicine" in Winnsboro, South Carolina. Her current practice location is
880 W Moultrie St, Suite 200, Winnsboro, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 635-6461.
Susan Hammond Grosslight is licensed to practice in South Carolina (license number 17725) 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 1821100835.
Provider's Profile
| Full Name | Susan Hammond Grosslight |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 880 W Moultrie St, Winnsboro, South Carolina |
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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: 1821100835
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840452991
- Enrollment ID: I20120507000467
Medical Identifiers
Medical identifiers for Susan Hammond Grosslight such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821100835 | NPI | - | NPPES |
| NP2030 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WC1400X | Registered Nurse - College Health | R41098 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 17725 (South Carolina) | 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. Susan Hammond Grosslight allows following entities to bill medicare on her behalf.
| Entity Name | Fairfield Medical Associates, Pa. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184737892
PECOS PAC ID: 3072519289
Enrollment ID: O20061011000558 |
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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. Susan Hammond Grosslight 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 |
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Susan Hammond Grosslight, NP
Po Box 1218,
Winnsboro, SC 29180-5218
Ph: (803) 635-6461 | Susan Hammond Grosslight, NP
880 W Moultrie St, Suite 200,
Winnsboro, SC 29180-2411
Ph: (803) 635-6461 |
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