Dr Bradley P Grant, MD is a medicare enrolled "Dermatology" physician in West Melbourne, Florida. He went to University Of Kentucky College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. His current practice location is
1480 S Wickham Rd, West Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 724-2188.
Dr Bradley P Grant is licensed to practice in Florida (license number ME80040) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528066073.
Physician's Profile
| Full Name | Dr Bradley P Grant |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 28 Years |
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| Location | 1480 S Wickham Rd, West Melbourne, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradley P Grant attended and graduated from University Of Kentucky College Of Medicine in 1996
NPI Data:
- NPI Number: 1528066073
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 06/06/2008
Medicare PECOS Information:
- PECOS PAC ID: 0840224978
- Enrollment ID: I20051007000549
Medical Identifiers
Medical identifiers for Dr Bradley P Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528066073 | NPI | - | NPPES |
| 51915 | Other | FL | BLUE SHIELD |
| 261442100 | Medicaid | FL | |
| 2120225050101 | Other | FL | BEECH STREET |
| CIGNA | Other | FL | 0560163 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | ME80040 (Florida) | Primary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME80040 (Florida) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | ME80040 (Florida) | Secondary |
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. Dr Bradley P Grant allows following entities to bill medicare on his behalf.
| Entity Name | Bradley P Grant Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083894125
PECOS PAC ID: 1759315872
Enrollment ID: O20050919000832 |
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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. Dr Bradley P 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 |
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Dr Bradley P Grant, MD
1480 S Wickham Rd,
West Melbourne, FL 32904-2447
Ph: (321) 724-2188 | Dr Bradley P Grant, MD
1480 S Wickham Rd,
West Melbourne, FL 32904-2447
Ph: (321) 724-2188 |
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