Phillip Grigsby, - Medicare Radiology in Loma Linda, CA

Phillip Grigsby, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Loma Linda, California. His current practice location is 11370 Havstad Dr, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (541) 761-9596.

Phillip Grigsby is licensed to practice in California (license number A157441) 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 1740716539.

Contact Information

Phillip Grigsby,
11370 Havstad Dr,
Loma Linda, CA 92354-4149
(541) 761-9596
Not Available

Map and Direction




Physician's Profile

Full NamePhillip Grigsby
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location11370 Havstad Dr, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740716539
  • Provider Enumeration Date: 05/11/2017
  • Last Update Date: 02/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5294109674
  • Enrollment ID: I20230327001055

Medical Identifiers

Medical identifiers for Phillip Grigsby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740716539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A157441 (California)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. Phillip Grigsby allows following entities to bill medicare on his behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameRiverside Medical Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720183403
PECOS PAC ID: 2961492327
Enrollment ID: O20040517000880
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20180825000005
Entity NameHealth Diagnostics Of California A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104321959
PECOS PAC ID: 4284621525
Enrollment ID: O20180825000084
Entity NameUniversal Radiology Partners Of California Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467225235
PECOS PAC ID: 7214372986
Enrollment ID: O20240304003247

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. Phillip Grigsby 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 AddressPractice Location Address
Phillip Grigsby,
11370 Havstad Dr,
Loma Linda, CA 92354-4149

Ph: () -
Phillip Grigsby,
11370 Havstad Dr,
Loma Linda, CA 92354-4149

Ph: (541) 761-9596

Reviews and Comments


Radiology Doctors in Loma Linda, CA

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Medicare: Accepting Medicare Assignments
Practice Location: 11234 Anderson St, Loma Linda, CA 92354
Phone: 909-558-8311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.