Mrs Tracy F Grissom, MA in Urbana, IL - Medicare Counselor Provider

Mrs Tracy F Grissom, MA is a medicare enrolled "Counselor - Professional" provider in Urbana, Illinois. Her current practice location is 511 W Green St., Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 337-1700.

Mrs Tracy F Grissom is licensed to practice in Illinois (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 1326268814.

Contact Information

	Mrs Tracy F Grissom, MA
	511 W Green St., Urbana, IL 61801-3942
	(217) 337-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tracy F Grissom
Gender	Female
Speciality	Counselor - Professional
Location	511 W Green St., Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326268814
Provider Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6204350853
Enrollment ID: I20250404002621

Medical Identifiers

Medical identifiers for Mrs Tracy F Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326268814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(Illinois)	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 Tracy F Grissom allows following entities to bill medicare on her behalf.

Entity Name	Equip Christian Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861221392 PECOS PAC ID: 5395269948 Enrollment ID: O20250404002217

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 Tracy F 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
Mrs Tracy F Grissom, MA 17126 E 2750 N Road, Bismarck, IL 61814-5132 Ph: (217) 759-7236	Mrs Tracy F Grissom, MA 511 W Green St., Urbana, IL 61801-3942 Ph: (217) 337-1700

Reviews and Comments

Counselor in Urbana, IL

Nancy Suzanne Neukomm, CADC, LCPC, NCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2205 E University Ave, Suite A, Urbana, IL 61802 Phone: 217-841-5622 Fax: 217-367-1058
Mr. Stephen Lee Busick, MASTER OF ARTS IN CO Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 W Green Street, The Christian Counseling Center, Urbana, IL 61801 Phone: 217-337-1700 Fax: 217-337-1713
Wanda Raquel Ortiz Hernandez, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-552-1211
Paula Barickman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 718 W Killarney St, Urbana, IL 61801 Phone: 217-328-4500
Atiyya N Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2001 Philo Rd, Urbana, IL 61802 Phone: 217-398-9066 Fax: 217-398-9077
Miriam Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 S Gregory St Ste A, Urbana, IL 61801 Phone: 217-531-4796
Michael Grant Scott, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1502 Delmont Ct Apt 2, Urbana, IL 61801 Phone: 217-221-0299

Mrs Tracy F Grissom, MA - Medicare Counselor in Urbana, IL