Grace Gillette Staines, FNP-BC in Hartford, CT

Grace Gillette Staines, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. Her current practice location is 1075 Asylum Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (978) 578-3974.

Grace Gillette Staines is licensed to practice in Connecticut (license number 211972) 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 1134908163.

Contact Information

	Grace Gillette Staines, FNP-BC
	1075 Asylum Ave, Hartford, CT 06105-2455
	(978) 578-3974
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Gillette Staines
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1075 Asylum Ave, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134908163
Provider Enumeration Date: 09/28/2023
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6406291996
Enrollment ID: I20240223001916

Medical Identifiers

Medical identifiers for Grace Gillette Staines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134908163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	211972 (Connecticut)	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. Grace Gillette Staines allows following entities to bill medicare on her behalf.

Entity Name	Trinity Health Of New England Provider Network Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651

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. Grace Gillette Staines 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
Grace Gillette Staines, FNP-BC 8 Raymond St, Manchester, MA 01944-1613 Ph: () -	Grace Gillette Staines, FNP-BC 1075 Asylum Ave, Hartford, CT 06105-2455 Ph: (978) 578-3974

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

Caroline Clara Regan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 185 Asylum St, Hartford, CT 06103 Phone: 860-215-2117
Mrs. Brooke M P Chaves, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4680
Jocelyn Calabro, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-4000
Michael Brian Banik, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80 Seymour St, Hartford, CT 06106 Phone: 860-545-5000
Deborah Mcgrath, APRN/FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Asylum Ave, Hartford, CT 06105 Phone: 860-714-4786
Marlo Derla, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 Woodland St, Hartford, CT 06105 Phone: 860-714-0000
Audrey Bakanauskas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Woodland St, Cardiology, Hartford, CT 06105 Phone: 860-714-4161 Fax: 860-714-8001

Grace Gillette Staines, FNP-BC - Medicare Nurse Practitioner in Hartford, CT