Tonya Grissam, MD - Medicare Pediatrics in Fort Lauderdale, FL

Tonya Grissam, MD is a medicare enrolled "Pediatrics" physician in Fort Lauderdale, Florida. Her current practice location is 6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (800) 586-5022.

Tonya Grissam is licensed to practice in Michigan (license number 4301106345) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043385131.

Contact Information

Tonya Grissam, MD
6451 N Federal Hwy Ste 800,
Fort Lauderdale, FL 33308-1409
(800) 586-5022
(954) 229-9801



Physician's Profile

Full NameTonya Grissam
GenderFemale
SpecialityPediatrics
Location6451 N Federal Hwy Ste 800, Fort Lauderdale, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043385131
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022376938
  • Enrollment ID: I20171226001652

Medical Identifiers

Medical identifiers for Tonya Grissam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043385131NPI-NPPES
000960913DMedicaidGA
000960913IMedicaidGA
000960913HMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301106345 (Michigan)Primary
208000000XPediatrics 051567 (Georgia)Secondary

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. Tonya Grissam allows following entities to bill medicare on her behalf.
Entity NameSouthern Monterey County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114917564
PECOS PAC ID: 7719883461
Enrollment ID: O20050216000803

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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. Tonya Grissam 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
Tonya Grissam, MD
6451 N Federal Hwy Ste 800,
Fort Lauderdale, FL 33308-1409

Ph: (800) 586-5022
Tonya Grissam, MD
6451 N Federal Hwy Ste 800,
Fort Lauderdale, FL 33308-1409

Ph: (800) 586-5022

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Pediatrics Doctors in Fort Lauderdale, FL

Dianne Mattox Parker, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Andrews Ave, Newborn Nursery, Fort Lauderdale, FL 33316
Phone: 954-355-5810    
Dr. Paula Michele Thaqi, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 780 Sw 24th St, Fort Lauderdale, FL 33315
Phone: 954-467-4700    Fax: 954-467-4704
Alochana Ragula, MBBS
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316
Phone: 954-459-2094    Fax: 954-320-2891
Alexis Dietz, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 915 Middle River Dr Ste 209, Fort Lauderdale, FL 33304
Phone: 954-300-1736    
Dr. Natasha Mendez, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1625 Se 3rd Ave Ste 200, Fort Lauderdale, FL 33316
Phone: 954-832-0332    Fax: 954-832-0289
Johanna Albrecht, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 Nw 7th Ave, Fort Lauderdale, FL 33311
Phone: 954-759-6600    Fax: 954-759-6665

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