Kaylun Grandy, PA-C in Evanston, WY - Medicare Physician Assistant

Kaylun Grandy, PA-C is a medicare enrolled "Physician Assistant" in Evanston, Wyoming. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sterling Provider Group and his current practice location is 1952 Harrison Drive, Evanston, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 382-3064.

Kaylun Grandy is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467950154.

Contact Information

	Kaylun Grandy, PA-C
	1952 Harrison Drive, Evanston, WY 82930-3241
	(307) 382-3064
	Not Available

Map and Direction

Provider's Profile

Full Name	Kaylun Grandy
Gender	Male
Speciality	Physician Assistant
Experience	7 Years
Location	1952 Harrison Drive, Evanston, Wyoming
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kaylun Grandy graduated from nursing school in 2017

NPI Data:

NPI Number: 1467950154
Provider Enumeration Date: 01/27/2018
Last Update Date: 07/23/2020

Medicare PECOS Information:

PECOS PAC ID: 1557612165
Enrollment ID: I20200817001057

Medical Identifiers

Medical identifiers for Kaylun Grandy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467950154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA1934 (Nevada)	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Evanston Regional Hospital	Evanston, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sterling Provider Group	2264773373	57

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. Kaylun Grandy 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
Kaylun Grandy, PA-C 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 Ph: (208) 542-9111	Kaylun Grandy, PA-C 1952 Harrison Drive, Evanston, WY 82930-3241 Ph: (307) 382-3064

Reviews and Comments

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Kaylun Grandy, PA-C - Medicare Physician Assistant in Evanston, WY