Dynesha Mason-grissom, PH.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: November 13, 2018

Quick Facts

NPI Number
1043789688
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy103TC1900X — Specialty not listed
Phone
(217) 693-6072
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1043789688)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (November 13, 2018)
Data source: CMS NPPES

Provider Overview

DYNESHA MASON-GRISSOM, PH.D is a Healthcare provider based in Champaign, IL who has been registered with CMS since 2018. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043789688
Provider TypeIndividual Provider
GenderFemale
CredentialPH.D
StatusActive
Enumeration DateNovember 13, 2018

Practice Location

CityChampaign
StateIL
ZIP Code61821-7038
Phone(217) 693-6072

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code103TC1900X
License StateIL

Mailing Address

CityChampaign
StateIL
ZIP Code61821-7038
Phone(217) 693-6072
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043789688 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043789688for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043789688 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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9,665
Specialty not listed Providers in the US

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People Also Ask

What is Dynesha Mason-grissom's NPI number?
Dynesha Mason-grissom's NPI number is 1043789688, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Dynesha Mason-grissom's NPI currently active?
Yes, Dynesha Mason-grissom's NPI status is Active as of the latest CMS NPPES database updates.
What does Dynesha Mason-grissom specialize in?
Dynesha Mason-grissom specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 103TC1900X.
Where does Dynesha Mason-grissom practice?
Dynesha Mason-grissom practices in Champaign, IL 61821-7038.
When was Dynesha Mason-grissom's NPI issued?
Dynesha Mason-grissom's NPI was issued on November 13, 2018.
What is Dynesha Mason-grissom's provider type?
Dynesha Mason-grissom is registered as an Individual Provider under CMS NPI Type 1.