Sophia R Grant, MD in Moreno Valley, CA

Sophia R Grant, MD is a medicare enrolled "Pediatrics" physician in Moreno Valley, California. Her current practice location is 26520 Cactus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 486-4345.

Sophia R Grant is licensed to practice in California (license number A66209) 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 1841215613.

Contact Information

	Sophia R Grant, MD
	26520 Cactus Ave, Moreno Valley, CA 92555-3927
	(951) 486-4345
	(951) 486-4330

Map and Direction

Physician's Profile

Full Name	Sophia R Grant
Gender	Female
Speciality	Pediatrics
Location	26520 Cactus Ave, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841215613
Provider Enumeration Date: 07/13/2006
Last Update Date: 06/07/2021

Medicare PECOS Information:

PECOS PAC ID: 5991869208
Enrollment ID: I20220617000826

Medical Identifiers

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

Identifier	Type	State	Issuer
1841215613	NPI	-	NPPES
200089650A	Medicaid	OK
213341503	Medicaid	TX
213341504	Other	TX	CSHCN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A66209 (California)	Secondary
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	N6326 (Texas)	Secondary
208000000X	Pediatrics	24883 (Oklahoma)	Secondary
2080C0008X	Pediatrics - Child Abuse Pediatrics	A66209 (California)	Secondary
208000000X	Pediatrics	A66209 (California)	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. Sophia R Grant allows following entities to bill medicare on her behalf.

Entity Name	County Of Riverside
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107

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. Sophia R 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
Sophia R Grant, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4345	Sophia R Grant, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4345

Reviews and Comments

Pediatrics Doctors in Moreno Valley, CA

Dr. My Nguyen, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000
Jesse Oliver Tweed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14114 Business Center Dr Ste A, Moreno Valley, CA 92553 Phone: 951-697-4133 Fax: 951-697-4130
Dr. Jeffrey Taylor Olson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11441 Heacock St, Suite C, Moreno Valley, CA 92557 Phone: 951-247-5809
Albert Khait, M.D,. Pediatrics Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5203
Dr. Rowena Kai Ling Mak-huang, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11441 Heacock St Ste C, Moreno Valley, CA 92557 Phone: 951-247-5809
Francesca Paterno, Pediatrics Medicare: Medicare Enrolled Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000
Dr. David K Dong, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12980 Frederick St Ste I, Moreno Valley, CA 92553 Phone: 951-684-8020 Fax: 951-684-8090

Sophia R Grant, MD - Medicare Pediatrics in Moreno Valley, CA