Ms Makenzie Grilliot, PA-C - Medicare Physician Assistant in Athens, GA

Ms Makenzie Grilliot, PA-C is a medicare enrolled "Physician Assistant" in Athens, Georgia. Her current practice location is 1765 Old West Broad St, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 549-1663.

Ms Makenzie Grilliot is licensed to practice in Georgia (license number 11175) 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 1528795754.

Contact Information

Ms Makenzie Grilliot, PA-C
1765 Old West Broad St,
Athens, GA 30606-2853
(706) 549-1663
(706) 546-8792



Provider's Profile

Full NameMs Makenzie Grilliot
GenderFemale
SpecialityPhysician Assistant
Location1765 Old West Broad St, Athens, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528795754
  • Provider Enumeration Date: 08/08/2022
  • Last Update Date: 03/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193100758
  • Enrollment ID: I20220916002987

Medical Identifiers

Medical identifiers for Ms Makenzie Grilliot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528795754NPI-NPPES
15685466OtherCAQH NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11175 (Georgia)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. Ms Makenzie Grilliot 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
Ms Makenzie Grilliot, PA-C
1765 Old West Broad St Bldg 2-200,
Athens, GA 30606-2887

Ph: (706) 549-1663
Ms Makenzie Grilliot, PA-C
1765 Old West Broad St,
Athens, GA 30606-2853

Ph: (706) 549-1663

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Physician Assistant Nurses in Athens, GA

Kayla Weaver,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3320 Old Jefferson Rd, Athens, GA 30607
Phone: 706-613-1625    
Kalen Elizabeth Ashford, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1061 Dowdy Rd Ste 202, Athens, GA 30606
Phone: 706-389-8941    Fax: 706-389-8942
Jordan Barr,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607
Phone: 706-353-2990    
Amanda Wilkins, CAA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1199 Prince Ave, Athens, GA 30606
Phone: 706-543-3449    
Julie A Puder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 Hawthorne Ln, Athens, GA 30606
Phone: 706-353-7648    Fax: 706-353-7788
Joseph Hale, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1765 Old West Broad St, Athens, GA 30606
Phone: 706-549-1663    Fax: 706-546-8792
Marie B Anderson, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 120 Trinity Pl, Athens, GA 30607
Phone: 706-543-2718    Fax: 706-353-3709

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