Ms Brenda Mae Grissom, OTR in Sheboygan, WI - Medicare Occupational Therapist Provider

Ms Brenda Mae Grissom, OTR is a medicare enrolled "Occupational Therapist" provider in Sheboygan, Wisconsin. Her current practice location is 3014 Erie Ave, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 459-3028.

Ms Brenda Mae Grissom is licensed to practice in Wisconsin (license number 4870-026) 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 1780985648.

Contact Information

	Ms Brenda Mae Grissom, OTR
	3014 Erie Ave, Sheboygan, WI 53081-3658
	(920) 459-3028
	(920) 459-4341

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Brenda Mae Grissom
Gender	Female
Speciality	Occupational Therapist
Location	3014 Erie Ave, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780985648
Provider Enumeration Date: 11/09/2010
Last Update Date: 10/31/2022

Medicare PECOS Information:

PECOS PAC ID: 8820468846
Enrollment ID: I20230106002215

Medical Identifiers

Medical identifiers for Ms Brenda Mae Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780985648	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	4870-026 (Wisconsin)	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. Ms Brenda Mae Grissom allows following entities to bill medicare on her behalf.

Provider Name	Paxxon Healthcare Services Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750

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. Ms Brenda Mae 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
Ms Brenda Mae Grissom, OTR 5764 County Road Q, Colgate, WI 53017-9717 Ph: (262) 573-6130	Ms Brenda Mae Grissom, OTR 3014 Erie Ave, Sheboygan, WI 53081-3658 Ph: (920) 459-3028

Reviews and Comments

Occupational Therapist in Sheboygan, WI

Emily Joann Lucht, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3613 S 13th St, Sheboygan, WI 53081 Phone: 715-572-5893
Joshua R Luna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2131 S Business Dr, Sheboygan, WI 53081 Phone: 920-803-1617 Fax: 920-803-1622
Hailey Witthun, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-803-1617
Ashley L Coop, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2508 Cooper Ave, Sheboygan, WI 53083 Phone: 920-838-4595
Mrs. Ann M Hering, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648
Mrs. Amy Kate Summers, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5550
Sarah M Keller, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1125 N 13th St, Sheboygan, WI 53081 Phone: 920-208-9648 Fax: 920-208-6316

Ms Brenda Mae Grissom, OTR - Medicare Occupational Therapist in Sheboygan, WI