Ms Mary Melinda Griswold, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wilson, Kansas. Her current practice location is
611 31st St, Wilson, Kansas. You can reach out to her office (for appointments etc.) via phone at
(785) 761-6505.
Ms Mary Melinda Griswold is licensed to practice in Kansas (license number 53-75175-012) 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 1992973218.
Provider's Profile
| Full Name | Ms Mary Melinda Griswold |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 611 31st St, Wilson, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992973218
- Provider Enumeration Date: 02/20/2008
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284803941
- Enrollment ID: I20110815000218
Medical Identifiers
Medical identifiers for Ms Mary Melinda Griswold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992973218 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 53-75175-012 (Kansas) | Primary |
| 163WC1400X | Registered Nurse - College Health | 13-91537-012 (Kansas) | Secondary |
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. Ms Mary Melinda Griswold allows following entities to bill medicare on her behalf.
| Entity Name | Center For Counseling And Consultation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104862549 PECOS PAC ID: 2961458518 Enrollment ID: O20050325000690 |
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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. Ms Mary Melinda Griswold 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 |
Ms Mary Melinda Griswold, APRN 611 31st St, Wilson, KS 67490-8740 Ph: (785) 761-6865 | Ms Mary Melinda Griswold, APRN 611 31st St, Wilson, KS 67490-8740 Ph: (785) 761-6505 |
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