Stephanie Emma Grant, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Dover, New Hampshire. Her current practice location is
784 Central Ave, Dover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 742-5556.
Stephanie Emma Grant is licensed to practice in New Hampshire (license number 064879-23) 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 1730932898.
Physician's Profile
Full Name | Stephanie Emma Grant |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 784 Central Ave, Dover, New Hampshire |
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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: 1730932898
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749621480
- Enrollment ID: I20240513003665
Medical Identifiers
Medical identifiers for Stephanie Emma Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730932898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 064879-23 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 064879-23 (New Hampshire) | 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. Stephanie Emma Grant allows following entities to bill medicare on her behalf.
Entity Name | Campbell Dermatology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144376997 PECOS PAC ID: 9537154059 Enrollment ID: O20040415000593 |
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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. Stephanie Emma 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 |
Stephanie Emma Grant, FNP-C 784 Central Ave, Dover, NH 03820-2549 Ph: (603) 742-5556 | Stephanie Emma Grant, FNP-C 784 Central Ave, Dover, NH 03820-2549 Ph: (603) 742-5556 |
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