Mr Gerome Alonzo Grivas, NP in Memphis, TN - Medicare Nurse Practitioner

Mr Gerome Alonzo Grivas, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Memphis, Tennessee. He graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 3175 Lenox Park Blvd Ste 412, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 273-2369.

Mr Gerome Alonzo Grivas is licensed to practice in Tennessee (license number 12129) 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 1497883607.

Contact Information

	Mr Gerome Alonzo Grivas, NP
	3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256
	(901) 273-2369
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gerome Alonzo Grivas
Gender	Male
Speciality	Nurse Practitioner
Experience	20 Years
Location	3175 Lenox Park Blvd Ste 412, Memphis, Tennessee
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:

Mr Gerome Alonzo Grivas graduated from nursing school in 2005

NPI Data:

NPI Number: 1497883607
Provider Enumeration Date: 03/01/2007
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 4082708219
Enrollment ID: I20090310000231

Medical Identifiers

Medical identifiers for Mr Gerome Alonzo Grivas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497883607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	17743 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12129 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Mr Gerome Alonzo Grivas allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mr Gerome Alonzo Grivas 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
Mr Gerome Alonzo Grivas, NP 1118 Continentals Way, Belmont, CA 94002-3119 Ph: (650) 270-5393	Mr Gerome Alonzo Grivas, NP 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 Ph: (901) 273-2369

Reviews and Comments

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Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711
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Miss Jennifer Elaine Roemer, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300
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Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391

Mr Gerome Alonzo Grivas, NP - Medicare Nurse Practitioner in Memphis, TN