Dr Leslie E Grissom, MD in Wilmington, DE - Radiology

Dr Leslie E Grissom, MD is a Radiology - Pediatric Radiology physician based in Wilmington, Delaware. Dr Leslie E Grissom is licensed to practice in Delaware (license number C10002480) and her current practice location is 1600 Rockland Rd, Wilmington, Delaware. She can be reached at her office (for appointments etc.) via phone at (302) 651-4000.

NPI number for Dr Leslie E Grissom is 1225120108 and her current mailing address is Po Box 191, Provider Enrollment Dept, Rockland, Delaware. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225120108.

Contact Information

	Dr Leslie E Grissom, MD
	1600 Rockland Rd, Wilmington, DE 19803-3607
	(302) 651-4000
	(302) 651-4945

Physician's Profile

Full Name	Dr Leslie E Grissom
Gender	Female
Speciality	Radiology - Pediatric Radiology
Location	1600 Rockland Rd, Wilmington, Delaware
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1225120108
Provider Enumeration Date: 09/29/2006
Last Update Date: 02/04/2013

Medical Identifiers

Medical identifiers for Dr Leslie E Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225120108	NPI	-	NPPES
XPY196074	Medicaid	CA
1165522	Medicaid	LA
5166608	Medicaid	NJ
64195951	Medicaid	KY
806321200	Medicaid	ID
1437681	Medicaid	NY
7709013	Medicaid	MD
1197564	Medicaid	PA
510123	Medicaid	IA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	C10002480 (Delaware)	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. Dr Leslie 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
Dr Leslie E Grissom, MD Po Box 191, Provider Enrollment Dept, Rockland, DE 19732-0191 Ph: (302) 651-6212	Dr Leslie E Grissom, MD 1600 Rockland Rd, Wilmington, DE 19803-3607 Ph: (302) 651-4000

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Radiology Doctors in Wilmington, DE

Dr. Lauren Ashley May, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200
Dr. Vinay Vardhan Reddy Kandula, MBBS,FRCR, MRCP, DCH Radiology Medicare: Medicare Enrolled Practice Location: 1600 Rockland Rd, Department Of Radiology, A.i Dupont Children's Hospital, Wilmington, DE 19803 Phone: 302-651-4664 Fax: 302-651-4476
William Rumancik, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1732a Marsh Rd # 175, Wilmington, DE 19810 Phone: 302-842-8234
Michael Leviton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 Augustine Cut Off, Wilmington, DE 19803 Phone: 302-652-3016 Fax: 302-571-6270
Dr. Steven H Klein, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945
Dr. H Theodore Harcke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945
Kerry A Bron, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4000 Fax: 302-651-4945

Dr Leslie E Grissom, MD - Radiology in Wilmington, DE