Andrew Griscom, MD - Medicare Emergency Medicine in Pawtucket, RI

Andrew Griscom, MD is a medicare enrolled "Emergency Medicine" physician in Pawtucket, Rhode Island. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Nes Medical Services Of Northern Connecticut, P.c. and his current practice location is 111 Brewster St, Department Of Emergency Medicine, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 729-2191.

Andrew Griscom is licensed to practice in Connecticut (license number 34668) 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 1538142328.

Contact Information

Andrew Griscom, MD
111 Brewster St, Department Of Emergency Medicine,
Pawtucket, RI 02860-4400
(401) 729-2191
(401) 729-2517



Physician's Profile

Full NameAndrew Griscom
GenderMale
SpecialityEmergency Medicine
Experience35 Years
Location111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Griscom attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1989
  NPI Data:
  • NPI Number: 1538142328
  • Provider Enumeration Date: 11/25/2005
  • Last Update Date: 05/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0143233833
  • Enrollment ID: I20120307000464

Medical Identifiers

Medical identifiers for Andrew Griscom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538142328NPI-NPPES
007061007OtherRIMEDICARE PTAN
7006158MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD09664 (Rhode Island)Secondary
207P00000XEmergency Medicine 34668 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson Memorial HospitalStafford springs, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nes Medical Services Of Northern Connecticut, P.c.731584396823

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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. Andrew Griscom allows following entities to bill medicare on his behalf.
Entity NameNes Medical Services Of Northern Connecticut, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447231865
PECOS PAC ID: 7315843968
Enrollment ID: O20040112000084

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Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739

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Entity NameEmergency Care Services Of Connecticut Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518519461
PECOS PAC ID: 0042541229
Enrollment ID: O20191021000580

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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. Andrew Griscom 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
Andrew Griscom, MD
111 Brewster St, Department Of Emergency Medicine,
Pawtucket, RI 02860-4400

Ph: (401) 729-2191
Andrew Griscom, MD
111 Brewster St, Department Of Emergency Medicine,
Pawtucket, RI 02860-4400

Ph: (401) 729-2191

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Emergency Medicine Doctors in Pawtucket, RI

John Riedel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860
Phone: 401-729-2191    Fax: 401-729-2517
Michael S Siclari, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster Street, Pawtucket, RI 02860
Phone: 401-729-2419    Fax: 401-729-2517
James P O'hair, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860
Phone: 401-725-8600    Fax: 401-725-8064
Laura Forman,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2191    
Marcia Robitaille, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860
Phone: 401-729-2191    Fax: 401-729-2517
Dr. Kristin Lynch Gregg, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster Street, Pawtucket, RI 02860
Phone: 401-729-2419    
Amir Bernaba, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2419    Fax: 401-729-2517

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