Dr Clifford N Grossman, MD - Medicare Interventional Radiology in Conyers, GA

Dr Clifford N Grossman, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Conyers, Georgia. He went to Emory University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Summit Radiology Services Pc and his current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 918-3000.

Dr Clifford N Grossman is licensed to practice in Georgia (license number 51576) 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 1033191093.

Contact Information

Dr Clifford N Grossman, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(770) 918-3000
Not Available



Physician's Profile

Full NameDr Clifford N Grossman
GenderMale
SpecialityInterventional Radiology
Experience31 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
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:
  • Dr Clifford N Grossman attended and graduated from Emory University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1033191093
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 01/09/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204877087
  • Enrollment ID: I20050628000492

Medical Identifiers

Medical identifiers for Dr Clifford N Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033191093NPI-NPPES
000951189DMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 51576 (Georgia)Secondary
2085R0202XRadiology - Diagnostic Radiology 51576 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Rockdale HospitalConyers, GAHospital
Piedmont Newton HospitalCovington, GAHospital
Piedmont Mountainside Hospital IncJasper, GAHospital
Piedmont Henry HospitalStockbridge, GAHospital
Cartersville Medical CenterCartersville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Services Pc357745402447

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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. Dr Clifford N Grossman allows following entities to bill medicare on his behalf.
Entity NameSummit Radiology Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174572374
PECOS PAC ID: 3577454024
Enrollment ID: O20040323001388

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Entity NameDiagnostic Imaging Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424947
PECOS PAC ID: 8123012366
Enrollment ID: O20040412000946

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Entity NameTanner Imaging Center
Entity TypePart B Supplier - Independent Diagnostic Testing Facility (idtf)
Entity IdentifiersNPI Number: 1154820876
PECOS PAC ID: 8325475056
Enrollment ID: O20200219000803

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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. Dr Clifford N Grossman 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
Dr Clifford N Grossman, MD
Po Box 200096,
Cartersville, GA 30120-9002

Ph: (678) 905-7053
Dr Clifford N Grossman, MD
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (770) 918-3000

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Radiology Doctors in Conyers, GA

Michelle A Ross, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Dr. Bradley Lloyd Fricke, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-607-7339    Fax: 770-607-0789
Dr. Ratna Sajja, MD
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 1293 Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-922-2012    Fax: 770-922-8370
Richard Glen Stiles, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    Fax: 678-905-7053
Mark Otto Bernardy, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1031 Jimson Dr Se, Conyers, GA 30013
Phone: 800-879-6274    Fax: 678-342-2547
Dr. Kristin H Lewis, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-607-7339    

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