Brian Grissom, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Covington, LA

Brian Grissom, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Covington, Louisiana. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Total Anesthesia Care Stph Llc and his current practice location is 1202 S Tyler St, Covington, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 898-4000.

Brian Grissom is licensed to practice in Louisiana (license number RN097498) 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 1639106891.

Contact Information

Brian Grissom, CRNA
1202 S Tyler St,
Covington, LA 70433-2330
(985) 898-4000
Not Available



Provider's Profile

Full NameBrian Grissom
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience25 Years
Location1202 S Tyler St, Covington, Louisiana
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:
  • Brian Grissom graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1639106891
  • Provider Enumeration Date: 06/26/2006
  • Last Update Date: 10/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8325130057
  • Enrollment ID: I20070824000716

Medical Identifiers

Medical identifiers for Brian Grissom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639106891NPI-NPPES
1563421MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN097498 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Tammany Parish HospitalCovington, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Total Anesthesia Care Stph Llc074925590948

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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. Brian Grissom allows following entities to bill medicare on his behalf.
Entity NameTotal Anesthesia Care Stph Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669475190
PECOS PAC ID: 0749255909
Enrollment ID: O20040831000877

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Entity NameParish Anesthesia Of Jefferson, L.l.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508054560
PECOS PAC ID: 6608965975
Enrollment ID: O20071210000390

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Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20140926000783

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Entity NameProfessional Anesthesia Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851712699
PECOS PAC ID: 5193953982
Enrollment ID: O20150604000244

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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. Brian Grissom 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
Brian Grissom, CRNA
120 Innwood Dr,
Covington, LA 70433-9123

Ph: (985) 892-3225
Brian Grissom, CRNA
1202 S Tyler St,
Covington, LA 70433-2330

Ph: (985) 898-4000

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Nurse Anesthetist, Certified Registered Nurses in Covington, LA

Kaleb Killens, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 67252 Industry Ln, Covington, LA 70433
Phone: 985-809-9888    
Regina Bourgeois, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1202 S Tyler St, Covington, LA 70433
Phone: 985-898-4000    
Christina Pollet, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1202 S Tyler St, Covington, LA 70433
Phone: 985-898-4000    
Esteban R Zorrilla, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1202 S Tyler St, Covington, LA 70433
Phone: 985-898-4000    
Jason E Bernard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1202 S Tyler St, Covington, LA 70433
Phone: 985-898-4000    
David M Burdett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Styler St, Covington, LA 70433
Phone: 985-898-4000    
Joshua Fay,
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433
Phone: 540-761-7371    

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