Dr Jeannine L Griffin, MD is a medicare enrolled "Pediatrics" physician in Port Lavaca, Texas. Her current practice location is
1200 North Virginia, Port Lavaca, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 552-6721.
Dr Jeannine L Griffin is licensed to practice in Texas (license number G5119) 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 1700812724.
Physician's Profile
Full Name | Dr Jeannine L Griffin |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1200 North Virginia, Port Lavaca, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700812724
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 05/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 5890858013
- Enrollment ID: I20090114000743
Medical Identifiers
Medical identifiers for Dr Jeannine L Griffin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700812724 | NPI | - | NPPES |
113513502 | Other | TX | GROUP MEDICAID NUMBER |
118203202 | Medicaid | TX | |
ZOO0H160 | Other | TX | GROUP MEDICARE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | G5119 (Texas) | 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. Dr Jeannine L Griffin allows following entities to bill medicare on her behalf.
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
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Entity Name | Port Lavaca Clinic Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144262957 PECOS PAC ID: 3971565193 Enrollment ID: O20041101000085 |
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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. Dr Jeannine L Griffin 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 |
Dr Jeannine L Griffin, MD 1200 North Virginia, Port Lavaca, TX 77979 Ph: (361) 552-6721 | Dr Jeannine L Griffin, MD 1200 North Virginia, Port Lavaca, TX 77979 Ph: (361) 552-6721 |
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