Mrs Donna S Grisham, LADC in Portland, CT - Medicare Clinical Social Worker Provider

Mrs Donna S Grisham, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Portland, Connecticut. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Town Of North Haven Community Services and her current practice location is 553 Portland Cobalt Rd, Portland, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 342-0760.

Mrs Donna S Grisham is licensed to practice in Connecticut (license number 000424) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508804352.

Contact Information

	Mrs Donna S Grisham, LADC
	553 Portland Cobalt Rd, Portland, CT 06480-1968
	(860) 342-0760
	(860) 342-4226

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Donna S Grisham
Gender	Female
Speciality	Clinical Social Worker
Experience	13 Years
Location	553 Portland Cobalt Rd, Portland, Connecticut
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Donna S Grisham graduated from medical school in 2011

NPI Data:

NPI Number: 1508804352
Provider Enumeration Date: 06/03/2006
Last Update Date: 07/14/2011

Medicare PECOS Information:

PECOS PAC ID: 7719128560
Enrollment ID: I20130722000184

Medical Identifiers

Medical identifiers for Mrs Donna S Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508804352	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	000424 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Town Of North Haven Community Services	5799784922	4

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. Mrs Donna S Grisham allows following entities to bill medicare on her behalf.

Entity Name	Town Of North Haven Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164513388 PECOS PAC ID: 5799784922 Enrollment ID: O20061215000196

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. Mrs Donna S Grisham 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
Mrs Donna S Grisham, LADC 553 Portland Cobalt Rd, Portland, CT 06480-1968 Ph: (860) 342-0760	Mrs Donna S Grisham, LADC 553 Portland Cobalt Rd, Portland, CT 06480-1968 Ph: (860) 342-0760

Reviews and Comments

Counselor in Portland, CT

Mr. Pete Ralston, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Marlborough St, Portland, CT 06480 Phone: 860-342-6371
Jaclyn Mccabe, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Appletree Ln, Portland, CT 06480 Phone: 860-830-9150
Michele Binezewski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226
Mrs. Julie S. Dudek, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226
Thelma Marie Epps, LADC, CAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 Fax: 860-342-4556
Ms. Michelle M Pellin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Buttonhook Dr, Portland, CT 06480 Phone: 860-805-7819

Mrs Donna S Grisham, LADC - Medicare Counselor in Portland, CT