Kathleen Susan Grady-greene, ARNP in Round Rock, TX

Kathleen Susan Grady-greene, ARNP is a medicare enrolled "Nurse Practitioner - Neonatal" in Round Rock, Texas. Her current practice location is 300 University Blvd, Round Rock, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 509-0200.

Kathleen Susan Grady-greene is licensed to practice in Texas (license number AP117211) 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 1013180835.

Contact Information

	Kathleen Susan Grady-greene, ARNP
	300 University Blvd, Round Rock, TX 78665-1032
	(512) 509-0200
	Not Available

Map and Direction

Provider's Profile

Full Name	Kathleen Susan Grady-greene
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	300 University Blvd, Round Rock, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013180835
Provider Enumeration Date: 04/13/2008
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8820446123
Enrollment ID: I20231128000198

Medical Identifiers

Medical identifiers for Kathleen Susan Grady-greene such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013180835	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	AP117211 (Texas)	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. Kathleen Susan Grady-greene allows following entities to bill medicare on her behalf.

Entity Name	Scott & White Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640

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. Kathleen Susan Grady-greene 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
Kathleen Susan Grady-greene, ARNP Po Box 844658, Dallas, TX 75284-4658 Ph: () -	Kathleen Susan Grady-greene, ARNP 300 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0200

Reviews and Comments

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Kathleen Susan Grady-greene, ARNP - Medicare Nurse Practitioner in Round Rock, TX