Dr Justin Grisham, DO in Cortez, CO - Medicare Emergency Medicine

Dr Justin Grisham, DO is a medicare enrolled "Emergency Medicine" physician in Cortez, Colorado. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Innova Emergency Medical Associates Pc, Innova Emergency Medical Associates Pc and his current practice location is 1311 N Mildred Rd, Cortez, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 565-6666.

Dr Justin Grisham is licensed to practice in Arizona (license number 011215) 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 1427417062.

Contact Information

	Dr Justin Grisham, DO
	1311 N Mildred Rd, Cortez, CO 81321-2231
	(970) 565-6666
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Justin Grisham
Gender	Male
Speciality	Emergency Medicine
Experience	10 Years
Location	1311 N Mildred Rd, Cortez, Colorado
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:

Dr Justin Grisham graduated from medical school in 2016

NPI Data:

NPI Number: 1427417062
Provider Enumeration Date: 02/10/2016
Last Update Date: 01/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1052709912
Enrollment ID: I20240613000560

Medical Identifiers

Medical identifiers for Dr Justin Grisham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427417062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	05-49286 (Kansas)	Secondary
207P00000X	Emergency Medicine	011215 (Arizona)	Primary
207P00000X	Emergency Medicine	DR.0065361 (Colorado)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kingman Regional Medical Center	Kingman, AZ	Hospital
Southwest Memorial Hospital	Cortez, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Innova Emergency Medical Associates Pc	2860633435	59
Innova Emergency Medical Associates Pc	2860633435	59

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 Justin Grisham allows following entities to bill medicare on his behalf.

Entity Name	Innova Emergency Medical Associates Pc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1295178978 PECOS PAC ID: 2860633435 Enrollment ID: O20240106000323

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 Justin 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
Dr Justin Grisham, DO 9878 W Belleview Ave # 5114, Littleton, CO 80123-2101 Ph: () -	Dr Justin Grisham, DO 1311 N Mildred Rd, Cortez, CO 81321-2231 Ph: (970) 565-6666

Reviews and Comments

Emergency Medicine Doctors in Cortez, CO

Dr. Todd R Fowler, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666
Jennifer Ann Gero, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666
Dr. David Buckwalter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666
Sean Philip Rooks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666
Dr. Matthew R Kamper, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666
Kenton Lee Asche, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1311 N Mildred Rd, Cortez, CO 81321 Phone: 970-565-6666 Fax: 970-564-2155

Dr Justin Grisham, DO - Medicare Emergency Medicine in Cortez, CO