Donna M Grant, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pomfret Ctr, Connecticut. Her current practice location is
106 Modock Rd, Pomfret Ctr, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(401) 523-4488.
Donna M Grant is licensed to practice in Connecticut (license number 011503) 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 1497429039.
Healthcare Provider's Profile
Full Name | Donna M Grant |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 106 Modock Rd, Pomfret Ctr, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497429039
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 02/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 4880067586
- Enrollment ID: I20230228001747
Medical Identifiers
Medical identifiers for Donna M Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497429039 | NPI | - | NPPES |
011503 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 011503 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 11503 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 011503 (Connecticut) | Primary |
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. Donna M Grant allows following entities to bill medicare on her behalf.
Entity Name | Worthy, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770280943 PECOS PAC ID: 3971976671 Enrollment ID: O20230228001507 |
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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. Donna M Grant 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 Address | Practice Location Address |
Donna M Grant, LCSW 106 Modock Rd, Pomfret Ctr, CT 06259-1605 Ph: (401) 523-4488 | Donna M Grant, LCSW 106 Modock Rd, Pomfret Ctr, CT 06259-1605 Ph: (401) 523-4488 |
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