Grant Nybakken, MD in Philadelphia, PA

Grant Nybakken, MD is a medicare enrolled "Pathology - Clinical Pathology/laboratory Medicine" physician in Philadelphia, Pennsylvania. He went to Washington University School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 3400 Spruce St, 1 Maloney, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-3957.

Grant Nybakken is licensed to practice in Pennsylvania (license number MT193042) 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 1104088400.

Contact Information

	Grant Nybakken, MD
	3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4238
	(215) 662-3957
	Not Available

Map and Direction

Physician's Profile

Full Name	Grant Nybakken
Gender	Male
Speciality	Pathology
Experience	16 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Grant Nybakken attended and graduated from Washington University School Of Medicine in 2008

NPI Data:

NPI Number: 1104088400
Provider Enumeration Date: 06/27/2008
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 8022230960
Enrollment ID: I20141110001881

Medical Identifiers

Medical identifiers for Grant Nybakken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104088400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0105X	Pathology - Clinical Pathology/laboratory Medicine	MT193042 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital-santa Clara	Santa clara, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Grant Nybakken allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Grant Nybakken 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
Grant Nybakken, MD 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4238 Ph: () -	Grant Nybakken, MD 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4238 Ph: (215) 662-3957

Reviews and Comments

Pathology Doctors in Philadelphia, PA

Jason Nathaniel Rosenbaum, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564
Donghwa Baek, Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151
Dr. Vivianna Maia Van Deerlin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 7.103 Founders Pavillion, Philadelphia, PA 19104 Phone: 215-662-6550 Fax: 215-662-7529
Zissimos Mourelatos, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-3000 Fax: 215-829-7564
Mariusz A Wasik, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-728-3675 Fax: 215-728-2848
Adrienne Catharine Carruth Griffin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce St, 1 Maloney Building, Philadelphia, PA 19104 Phone: 215-662-4829
Tirumala Lakshmi Kumari Pentakota, M.D Pathology Medicare: Not Enrolled in Medicare Practice Location: 245 N 15th St, Mail Stop 435, Philadelphia, PA 19102 Phone: 215-762-1179

Grant Nybakken, MD - Medicare Pathology in Philadelphia, PA