Ms Telitha K Grant-spencer, MD is a medicare enrolled "Pediatrics" physician in Sebastopol, Mississippi. She went to Meharry Medical College School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice East Central Mississippi Health Care Inc and her current practice location is
1488 Hwy 487, Sebastopol, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 625-7403.
Ms Telitha K Grant-spencer is licensed to practice in Mississippi (license number 24502) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851570006.
Physician's Profile
Full Name | Ms Telitha K Grant-spencer |
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Gender | Female |
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Speciality | Pediatric Medicine |
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Experience | 20 Years |
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Location | 1488 Hwy 487, Sebastopol, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Telitha K Grant-spencer attended and graduated from Meharry Medical College School Of Medicine in 2004
NPI Data:
- NPI Number: 1851570006
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 11/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658447891
- Enrollment ID: I20161111000595
Medical Identifiers
Medical identifiers for Ms Telitha K Grant-spencer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851570006 | NPI | - | NPPES |
00656244 | Medicaid | MS | |
1069973 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD.200333 (Louisiana) | Secondary |
207R00000X | Internal Medicine | 24502 (Mississippi) | Secondary |
208000000X | Pediatrics | MD.200333 (Louisiana) | Secondary |
208000000X | Pediatrics | 24502 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
East Central Mississippi Health Care Inc | 0941103717 | 13 |
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. Ms Telitha K Grant-spencer allows following entities to bill medicare on her behalf.
Entity Name | East Central Mississippi Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255387619 PECOS PAC ID: 0941103717 Enrollment ID: O20040129000363 |
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Entity Name | First Intermed Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105 |
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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. Ms Telitha K Grant-spencer 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 |
Ms Telitha K Grant-spencer, MD Po Box 150, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 | Ms Telitha K Grant-spencer, MD 1488 Hwy 487, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 |
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