Alyssa Grissom, APN, AGCNS is a medicare enrolled "Clinical Nurse Specialist - Oncology" in Cedar Rapids, Iowa. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Methodist Hospital and her current practice location is
202 10th St Se Ste 285, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 369-7816.
Alyssa Grissom is licensed to practice in Iowa (license number W178806) 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 1790213932.
Provider's Profile
| Full Name | Alyssa Grissom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 202 10th St Se Ste 285, Cedar Rapids, Iowa |
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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 Grissom attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2015
NPI Data:
- NPI Number: 1790213932
- Provider Enumeration Date: 06/01/2017
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698117612
- Enrollment ID: I20240522002769
Medical Identifiers
Medical identifiers for Alyssa Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790213932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209014163 (Illinois) | Secondary |
| 364SX0200X | Clinical Nurse Specialist - Oncology | W178806 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Lukes Methodist Hospital | 6608786751 | 70 |
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. Alyssa Grissom allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Methodist Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073553939
PECOS PAC ID: 6608786751
Enrollment ID: O20040204000942 |
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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. Alyssa Grissom 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 Grissom, APN, AGCNS
202 10th St Se Ste 285,
Cedar Rapids, IA 52403-2437
Ph: (319) 369-7816 | Alyssa Grissom, APN, AGCNS
202 10th St Se Ste 285,
Cedar Rapids, IA 52403-2437
Ph: (319) 369-7816 |
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