Hailey Grubbs, DO is a medicare enrolled "Dermatology" physician in Drexel Hill, Pennsylvania. Her current practice location is
2221 Garrett Rd, Drexel Hill, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 623-5885.
Hailey Grubbs is licensed to practice in Pennsylvania (license number OS023624) 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 1114487246.
Physician's Profile
Full Name | Hailey Grubbs |
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Gender | Female |
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Speciality | Dermatology |
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Location | 2221 Garrett Rd, Drexel Hill, Pennsylvania |
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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: 1114487246
- Provider Enumeration Date: 03/24/2019
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911366000
- Enrollment ID: I20230707001505
Medical Identifiers
Medical identifiers for Hailey Grubbs such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114487246 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | OS20055 (Florida) | Secondary |
207N00000X | Dermatology | OS023624 (Pennsylvania) | 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. Hailey Grubbs allows following entities to bill medicare on her behalf.
Entity Name | Skin And Cancer Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427017292 PECOS PAC ID: 1759284847 Enrollment ID: O20040128000060 |
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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. Hailey Grubbs 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 |
Hailey Grubbs, DO 2221 Garrett Rd, Drexel Hill, PA 19026-1101 Ph: (904) 403-5092 | Hailey Grubbs, DO 2221 Garrett Rd, Drexel Hill, PA 19026-1101 Ph: (610) 623-5885 |
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