John Thomas Grissom Ii, MD in Wasilla, AK

John Thomas Grissom Ii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Wasilla, Alaska. His current practice location is 3066 E Meridian Park Loop # 1, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 373-9460.

John Thomas Grissom Ii is licensed to practice in Alaska (license number 6558) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598789513.

Contact Information

	John Thomas Grissom Ii, MD
	3066 E Meridian Park Loop # 1, Wasilla, AK 99654-7299
	(907) 373-9460
	(907) 373-9461

Map and Direction

Physician's Profile

Full Name	John Thomas Grissom Ii
Gender	Male
Speciality	Pain Medicine - Interventional Pain Medicine
Location	3066 E Meridian Park Loop # 1, Wasilla, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598789513
Provider Enumeration Date: 07/26/2006
Last Update Date: 11/05/2012

Medicare PECOS Information:

PECOS PAC ID: 4284628389
Enrollment ID: I20090702000011

Medical Identifiers

Medical identifiers for John Thomas Grissom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598789513	NPI	-	NPPES
MD0853	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0014X	Pain Medicine - Interventional Pain Medicine	M-7402 (Idaho)	Secondary
207L00000X	Anesthesiology	6558 (Alaska)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	6558 (Alaska)	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. John Thomas Grissom Ii allows following entities to bill medicare on his behalf.

Entity Name	Aa Pain Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972596633 PECOS PAC ID: 7911892443 Enrollment ID: O20040216000359

Entity Name	Medical Group Of Alaska
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750730594 PECOS PAC ID: 7416243076 Enrollment ID: O20160907002184

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. John Thomas Grissom Ii 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
John Thomas Grissom Ii, MD Po Box 951027, South Jordan, UT 84095-1027 Ph: (907) 373-9460	John Thomas Grissom Ii, MD 3066 E Meridian Park Loop # 1, Wasilla, AK 99654-7299 Ph: (907) 373-9460

Reviews and Comments

Pain Medicine Doctors in Wasilla, AK

Stephen D Markewich, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3190 E Meridian Park Loop, Wasilla, AK 99654 Phone: 907-373-9460
John B Kelly, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 E Meridian Park Loop Ste 100, Wasilla, AK 99654 Phone: 907-416-6594 Fax: 800-654-6250
Eric F Severson, PA-C Pain Medicine Medicare: Medicare Enrolled Practice Location: 3066 E Meridian Park Loop Ste 207, Wasilla, AK 99654 Phone: 907-357-7710 Fax: 907-357-7720

John Thomas Grissom Ii, MD - Medicare Pain Medicine in Wasilla, AK