Andrew Griscom, MD in Pawtucket, RI - Medicare Emergency Medicine

Andrew Griscom, MD is a medicare enrolled "Emergency Medicine" physician in Pawtucket, Rhode Island. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1989 and has 36 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Trinity Health Of New England Provider Network Organization Inc, Cep America Llc and his current practice location is 111 Brewster St, Department Of Emergency Medicine, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-2191.

Andrew Griscom is licensed to practice in Connecticut (license number 34668) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538142328.

Contact Information

	Andrew Griscom, MD
	111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400
	(401) 729-2191
	(401) 729-2517

Map and Direction

Physician's Profile

Full Name	Andrew Griscom
Gender	Male
Speciality	Emergency Medicine
Experience	36 Years
Location	111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Griscom attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1989

NPI Data:

NPI Number: 1538142328
Provider Enumeration Date: 11/25/2005
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0143233833
Enrollment ID: I20120307000464

Medical Identifiers

Medical identifiers for Andrew Griscom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538142328	NPI	-	NPPES
007061007	Other	RI	MEDICARE PTAN
7006158	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD09664 (Rhode Island)	Secondary
207P00000X	Emergency Medicine	34668 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnson Memorial Hospital	Stafford springs, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Health Of New England Provider Network Organization Inc	0941113567	613
Cep America Llc	6608056171	732

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. Andrew Griscom allows following entities to bill medicare on his behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

Entity Name	Nes Medical Services Of Northern Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084

Entity Name	Emergency Care Services Of Connecticut Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518519461 PECOS PAC ID: 0042541229 Enrollment ID: O20191021000580

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700681202 PECOS PAC ID: 6608056171 Enrollment ID: O20250319001262

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. Andrew Griscom 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
Andrew Griscom, MD 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400 Ph: (401) 729-2191	Andrew Griscom, MD 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860-4400 Ph: (401) 729-2191

Reviews and Comments

Emergency Medicine Doctors in Pawtucket, RI

John Riedel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517
Michael S Siclari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517
James P O'hair, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860 Phone: 401-725-8600 Fax: 401-725-8064
Laura Forman, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2191
Marcia Robitaille, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517
Dr. Kristin Lynch Gregg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419
Amir Bernaba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517

Andrew Griscom, MD - Medicare Emergency Medicine in Pawtucket, RI