Sarah E Grissom, PA-C is a
Physician Assistant based in Red Bank, Tennessee. Sarah E Grissom is licensed to practice in Tennessee (license number 3294) and her current practice location is
4101 Dayton Blvd, Red Bank, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 499-7710.
NPI number for Sarah E Grissom is 1932432416 and her current mailing address is 4101 Dayton Blvd, Red Bank, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932432416.
Provider's Profile
| Full Name | Sarah E Grissom |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 4101 Dayton Blvd, Red Bank, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932432416
- Provider Enumeration Date: 09/15/2009
- Last Update Date: 05/08/2023
Medical Identifiers
Medical identifiers for Sarah E Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932432416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 016538 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0010-01972 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 3294 (Tennessee) | Primary |
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. Sarah E Grissom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sarah E Grissom, PA-C
4101 Dayton Blvd,
Red Bank, TN 37415-7156
Ph: (423) 499-7710 | Sarah E Grissom, PA-C
4101 Dayton Blvd,
Red Bank, TN 37415-7156
Ph: (423) 499-7710 |
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