Justin Kurtis Grant Sr, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dorchester, Massachusetts. His current practice location is
2100 Dorchester Ave, Dorchester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 296-4000.
Justin Kurtis Grant Sr is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841981693.
Physician's Profile
Full Name | Justin Kurtis Grant Sr |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2100 Dorchester Ave, Dorchester, Massachusetts |
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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: 1841981693
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 05/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375064504
- Enrollment ID: I20250304003967
Medical Identifiers
Medical identifiers for Justin Kurtis Grant Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841981693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 3014062 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Justin Kurtis Grant Sr 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 |
Justin Kurtis Grant Sr, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: () - | Justin Kurtis Grant Sr, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: (617) 296-4000 |
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