Shannon Grant-hailey, RD, CDN in Bronx, NY - Medicare Dietitian, Registered Provider

Shannon Grant-hailey, RD, CDN is a medicare enrolled "Dietitian, Registered" provider in Bronx, New York. Her current practice location is 111 E 210th St, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 920-8468.

Shannon Grant-hailey is licensed to practice in New York (license number ) 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 1083253090.

Contact Information

	Shannon Grant-hailey, RD, CDN
	111 E 210th St, Bronx, NY 10467-2401
	(718) 920-8468
	(718) 654-7648

Map and Direction

Healthcare Provider's Profile

Full Name	Shannon Grant-hailey
Gender	Female
Speciality	Dietitian, Registered
Location	111 E 210th St, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083253090
Provider Enumeration Date: 12/23/2019
Last Update Date: 01/13/2020

Medicare PECOS Information:

PECOS PAC ID: 8820469604
Enrollment ID: I20230116000733

Medical Identifiers

Medical identifiers for Shannon Grant-hailey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083253090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	(New York)	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. Shannon Grant-hailey allows following entities to bill medicare on her behalf.

Provider Name	Nutrished Dietitian Nutrition Solutions P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255946331 PECOS PAC ID: 7911378799 Enrollment ID: O20230116000585

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. Shannon Grant-hailey 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
Shannon Grant-hailey, RD, CDN 3444 Kossuth Ave, Bronx, NY 10467-2410 Ph: (718) 920-8468	Shannon Grant-hailey, RD, CDN 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-8468

Reviews and Comments

Dietitian, Registered in Bronx, NY

Mili G Desai, R.D., C.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5676 Riverdale Ave Ste 300, Bronx, NY 10471 Phone: 917-742-8156
Tiffany Ann Newenhouse, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1621 Eastchester Rd, Bronx, NY 10461 Phone: 718-405-8040
Sophie Martin, LD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1802 Crotona Ave, Bronx, NY 10457 Phone: 917-607-3312
Ms. Alba L Hernandez, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000 Fax: 718-741-4238
Minerva Huang, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000
Amelia Ti, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd Rm 1c-328, Bronx, NY 10468 Phone: 718-584-9000
Shannah L Johnson, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2675 Grand Concourse, #4f, Bronx, NY 10468 Phone: 612-360-1491

Shannon Grant-hailey, RD, CDN - Medicare Dietitian in Bronx, NY