Mrs Jenny Marie Grissom, - Medicare Counselor in Ukiah, CA

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Mrs Jenny Marie Grissom, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Ukiah, California. Her current practice location is 1120 S Dora St, Ukiah, California. You can reach out to her office (for appointments etc.) via phone at (707) 472-2637.

Mrs Jenny Marie Grissom is licensed to practice in California (license number RI-G1004211925) 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 1730424219.

Contact Information

Mrs Jenny Marie Grissom,
1120 S Dora St,
Ukiah, CA 95482-6340
(707) 472-2637
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Jenny Marie Grissom
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1120 S Dora St, Ukiah, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730424219
  • Provider Enumeration Date: 12/10/2012
  • Last Update Date: 12/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6608374616
  • Enrollment ID: I20250808003677

Medical Identifiers

Medical identifiers for Mrs Jenny Marie Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730424219NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) RI-G1004211925 (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. Mrs Jenny Marie Grissom allows following entities to bill medicare on her behalf.
Entity NameMendocino Care Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083255095
PECOS PAC ID: 3173950987
Enrollment ID: O20200217000878

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 Jenny Marie 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
Mrs Jenny Marie Grissom,
1120 S Dora St,
Ukiah, CA 95482-6340

Ph: Not Available		Mrs Jenny Marie Grissom,
1120 S Dora St,
Ukiah, CA 95482-6340

Ph: (707) 472-2637

Reviews and Comments


Counselor in Ukiah, CA

Sage Mountainfire,
Counselor
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Practice Location: 290 E Gobbi St, Ukiah, CA 95482
Phone: 707-463-3300    
Robert Thayne Hake,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1120 S Dora St, Ukiah, CA 95482
Phone: 707-472-2627    
Karen Bennett,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Talmage Rd, Ukiah, CA 95482
Phone: 707-462-4033    
Megan Elliott Parker,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 776 S State St, Ukiah, CA 95482
Phone: 707-463-4915    
Ms. Shelly Kay Stephens,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 350 E Gobbi St, Ukiah, CA 95482
Phone: 707-472-2922    
Mr. Keenan P Tyner, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2240 Old River Rd, Ukiah, CA 95482
Phone: 707-467-5181    
Bonnie Lockhart,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 810 N State St, Ukiah, CA 95482
Phone: 707-462-7267    

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).

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