Grissa Sandoy Hermoso, AGACNP-BC - Medicare Nurse Practitioner in Clyde, TX

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Grissa Sandoy Hermoso, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Clyde, Texas. Her current practice location is 216 Kennedy St, Clyde, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 386-5103.

Grissa Sandoy Hermoso is licensed to practice in Texas (license number 1132704) 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 1225812852.

Contact Information

Grissa Sandoy Hermoso, AGACNP-BC
216 Kennedy St,
Clyde, TX 79510-4406
(325) 386-5103
Not Available

Map and Direction




Provider's Profile

Full NameGrissa Sandoy Hermoso
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location216 Kennedy St, Clyde, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225812852
  • Provider Enumeration Date: 08/23/2023
  • Last Update Date: 08/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7618326471
  • Enrollment ID: I20231206000911

Medical Identifiers

Medical identifiers for Grissa Sandoy Hermoso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225812852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1132704 (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. Grissa Sandoy Hermoso allows following entities to bill medicare on her behalf.
Entity NameArlington Physician Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093144610
PECOS PAC ID: 8224256961
Enrollment ID: O20140821002133
Entity NameInfinite Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20211019000012

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. Grissa Sandoy Hermoso 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 AddressPractice Location Address
Grissa Sandoy Hermoso, AGACNP-BC
216 Kennedy St,
Clyde, TX 79510-4406

Ph: (325) 386-5103		Grissa Sandoy Hermoso, AGACNP-BC
216 Kennedy St,
Clyde, TX 79510-4406

Ph: (325) 386-5103

Reviews and Comments


Nurse Practitioner Nurses in Clyde, TX

Kimberly Ranee East, FNP
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Practice Location: 1712 N Access Rd, Clyde, TX 79510
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Rosa L Best, FNP
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Phone: 325-893-4010    Fax: 325-893-4035
Mrs. Michelle Bufkin Escobedo, FNP-C
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Medicare: Medicare Enrolled
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Erica Renee Preston, APRN-CNP
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Phone: 325-893-4010    
Martin D Gonzalez, FNP
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Phone: 325-893-4010    Fax: 325-893-4035
Mrs. Shayla R Fine, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1712 N Access Rd, Clyde, TX 79510
Phone: 325-893-4010    Fax: 325-893-4042

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.