Dr Dynesha Dione Mason-grissom, PHD in Champaign, IL

Dr Dynesha Dione Mason-grissom, PHD is a medicare enrolled "Psychologist" provider in Champaign, Illinois. Her current practice location is 2500 Galen Dr Ste 104, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 693-6072.

Dr Dynesha Dione Mason-grissom is licensed to practice in * (Not Available) (license number ) 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 1043789688.

Contact Information

	Dr Dynesha Dione Mason-grissom, PHD
	2500 Galen Dr Ste 104, Champaign, IL 61821-7038
	(217) 693-6072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dynesha Dione Mason-grissom
Gender	Female
Speciality	Psychologist
Location	2500 Galen Dr Ste 104, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043789688
Provider Enumeration Date: 11/13/2018
Last Update Date: 01/21/2020

Medicare PECOS Information:

PECOS PAC ID: 8921432840
Enrollment ID: I20200102000505

Medical Identifiers

Medical identifiers for Dr Dynesha Dione Mason-grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043789688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TF0000X	Psychologist - Family	(* (Not Available))	Secondary
103T00000X	Psychologist	(* (Not Available))	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. Dr Dynesha Dione Mason-grissom allows following entities to bill medicare on her behalf.

Entity Name	Psychology Specialists Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053368605 PECOS PAC ID: 9739152380 Enrollment ID: O20050112000476

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. Dr Dynesha Dione Mason-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
Dr Dynesha Dione Mason-grissom, PHD 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 Ph: (217) 693-6072	Dr Dynesha Dione Mason-grissom, PHD 2500 Galen Dr Ste 104, Champaign, IL 61821-7038 Ph: (217) 693-6072

Reviews and Comments

Psychologist in Champaign, IL

Rachael D Rubin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-255-9580 Fax: 217-255-9650
Kathryn Leskis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 301 N Neil St Ste 210, Champaign, IL 61820 Phone: 217-244-4597
Andrea R Klein, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Road, Psychology, Champaign, IL 61822 Phone: 217-365-6206 Fax: 217-326-1234
Holly N Mirell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1818 E. Windsor Road, Psychiatry/psychology, Champaign, IL 61802 Phone: 217-255-9700 Fax: 217-255-9650
Dr. Michael A Campion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2110 Clearlake Blvd Ste 202, Champaign, IL 61822 Phone: 217-356-9922 Fax: 217-356-9875
Dr. John P Baker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-365-2855

Dr Dynesha Dione Mason-grissom, PHD - Medicare Psychologist in Champaign, IL