Katherine Grace Ross, PA is a medicare enrolled "Physician Assistant" provider in Little Rock, Arkansas. Her current practice location is
11321 I-30 Frontage Rd., Suite 200, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 455-7009.
Katherine Grace Ross is licensed to practice in Arkansas (license number PA-958) 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 1861077109.
Healthcare Provider's Profile
Full Name | Katherine Grace Ross |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 11321 I-30 Frontage Rd., Little Rock, Arkansas |
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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: 1861077109
- Provider Enumeration Date: 03/17/2021
- Last Update Date: 03/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032513676
- Enrollment ID: I20210804002615
Medical Identifiers
Medical identifiers for Katherine Grace Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861077109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA-958 (Arkansas) | 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. Katherine Grace Ross 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 |
Katherine Grace Ross, PA 616 E 7th St Apt 6, Little Rock, AR 72202-2544 Ph: (501) 317-5572 | Katherine Grace Ross, PA 11321 I-30 Frontage Rd., Suite 200, Little Rock, AR 72209 Ph: (501) 455-7009 |
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