Mr Michael Terrell Grissom, CRNP - Medicare Nurse Practitioner in Madison, AL

Mr Michael Terrell Grissom, CRNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Madison, Alabama. His current practice location is 8375 Highway 72 W, Madison, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 265-2012.

Mr Michael Terrell Grissom is licensed to practice in Alabama (license number 1-131578) 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 1649649138.

Contact Information

Mr Michael Terrell Grissom, CRNP
8375 Highway 72 W,
Madison, AL 35758-9573
(256) 265-2012
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael Terrell Grissom
GenderMale
SpecialityNurse Practitioner - Adult Health
Location8375 Highway 72 W, Madison, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649649138
  • Provider Enumeration Date: 09/15/2015
  • Last Update Date: 09/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1658676028
  • Enrollment ID: I20160223000871

Medical Identifiers

Medical identifiers for Mr Michael Terrell Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649649138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 1-131578 (Alabama)Primary
363LG0600XNurse Practitioner - Gerontology 1-131578 (Alabama)Secondary
363LP2300XNurse Practitioner - Primary Care 1-131578 (Alabama)Secondary

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. Mr Michael Terrell Grissom allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659366649
PECOS PAC ID: 5496669350
Enrollment ID: O20031114000395

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. Mr Michael Terrell 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 AddressPractice Location Address
Mr Michael Terrell Grissom, CRNP
303 Kimberly Ave,
Muscle Shoals, AL 35661-3768

Ph: (256) 394-3612
Mr Michael Terrell Grissom, CRNP
8375 Highway 72 W,
Madison, AL 35758-9573

Ph: (256) 265-2012

Reviews and Comments


Nurse Practitioner Nurses in Madison, AL

Krista Young, CRNP
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Practice Location: 600 Sun Temple Dr, Madison, AL 35758
Phone: 256-975-4291    Fax: 256-288-3334
Dr. Kaitlyn Wendolowski, CRNP
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Medicare: Medicare Enrolled
Practice Location: 12100 County Line Rd Ste A2, Madison, AL 35756
Phone: 256-724-7714    Fax: 256-724-7065
Natalie R Baker, CRNP
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Medicare: Not Enrolled in Medicare
Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758
Phone: 256-325-4365    Fax: 256-461-0393
Chastity D Ayers, FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 600 Sun Temple Dr, Madison, AL 35758
Phone: 256-288-3333    Fax: 256-288-3334
Mr. Blake Hamilton Gilliam,
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Medicare: Accepting Medicare Assignments
Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758
Phone: 256-325-0955    
Mrs. Ruth Morris Church, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8216 Madison Blvd, Madison, AL 35758
Phone: 256-464-9991    Fax: 256-464-9994
Erin Stinnett, CRNP
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Medicare: Not Enrolled in Medicare
Practice Location: 7500 Highway 72 W, Madison, AL 35758
Phone: 256-964-8338    

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.