Brook Ashlee Gram, PA-C is a medicare enrolled "Physician Assistant" in Beloit, Ohio. Her current practice location is
18586 5th St, Beloit, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 938-3333.
Brook Ashlee Gram is licensed to practice in Ohio (license number 2565) 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 1740321090.
Provider's Profile
Full Name | Brook Ashlee Gram |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 18586 5th St, Beloit, Ohio |
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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:
- Brook Ashlee Gram attended and graduated from in
NPI Data:
- NPI Number: 1740321090
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 11/06/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Brook Ashlee Gram such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740321090 | NPI | - | NPPES |
1076079 | Other | OH | PA CERTIFICATION |
2565 | Other | OH | STATE MEDICAL BOARD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2565 (Ohio) | 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. Brook Ashlee Gram 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 |
Brook Ashlee Gram, PA-C 2242 Parkway Blvd, Alliance, OH 44601-4650 Ph: (330) 823-7855 | Brook Ashlee Gram, PA-C 18586 5th St, Beloit, OH 44609-9799 Ph: (330) 938-3333 |
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