John Thomas Grissom Ii, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Wasilla, Alaska. He went to University Of Washington School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Aa Pain Clinic, Inc. and his current practice location is
3066 E Meridian Park Loop # 1, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 373-9460.
John Thomas Grissom Ii is licensed to practice in Alaska (license number 6558) 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 1598789513.
Physician's Profile
| Full Name | John Thomas Grissom Ii |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 34 Years |
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| Location | 3066 E Meridian Park Loop # 1, Wasilla, Alaska |
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| Accepts Medicare Assignments | Yes. He 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:
- John Thomas Grissom Ii attended and graduated from University Of Washington School Of Medicine in 1990
NPI Data:
- NPI Number: 1598789513
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284628389
- Enrollment ID: I20090702000011
Medical Identifiers
Medical identifiers for John Thomas Grissom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598789513 | NPI | - | NPPES |
| MD0853 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | M-7402 (Idaho) | Secondary |
| 207L00000X | Anesthesiology | 6558 (Alaska) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 6558 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aa Pain Clinic, Inc. | 7911892443 | 11 |
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. John Thomas Grissom Ii allows following entities to bill medicare on his behalf.
| Entity Name | Aa Pain Clinic, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972596633
PECOS PAC ID: 7911892443
Enrollment ID: O20040216000359 |
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| Entity Name | Medical Group Of Alaska |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750730594
PECOS PAC ID: 7416243076
Enrollment ID: O20160907002184 |
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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. John Thomas Grissom Ii 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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John Thomas Grissom Ii, MD
Po Box 951027,
South Jordan, UT 84095-1027
Ph: (907) 373-9460 | John Thomas Grissom Ii, MD
3066 E Meridian Park Loop # 1,
Wasilla, AK 99654-7299
Ph: (907) 373-9460 |