Alyssa D Grisham, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in West Columbia, South Carolina. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lexington Health Inc and her current practice location is
2720 Sunset Blvd, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 939-4577.
Alyssa D Grisham is licensed to practice in South Carolina (license number 3112) 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 1962913921.
Physician's Profile
| Full Name | Alyssa D Grisham |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 2720 Sunset Blvd, West Columbia, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alyssa D Grisham graduated from medical school in 2017
NPI Data:
- NPI Number: 1962913921
- Provider Enumeration Date: 10/18/2017
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052668993
- Enrollment ID: I20190911002810
Medical Identifiers
Medical identifiers for Alyssa D Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962913921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 3112 (South Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 3112 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lexington Health Inc | 2567872070 | 753 |
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. Alyssa D 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 |
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Alyssa D Grisham, PA-C
Po Box 6069,
West Columbia, SC 29171-6069
Ph: (803) 791-2350 | Alyssa D Grisham, PA-C
2720 Sunset Blvd,
West Columbia, SC 29169-4810
Ph: (803) 939-4577 |
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