Mikayla Alice Grant, in Livermore, CA - Medicare Nurse Practitioner

Mikayla Alice Grant, is a medicare enrolled "Nurse Practitioner - Family" in Livermore, California. Her current practice location is 634 Joyce St, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (304) 596-4423.

Mikayla Alice Grant is licensed to practice in California (license number 95024930) 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 1437852985.

Contact Information

	Mikayla Alice Grant,
	634 Joyce St, Livermore, CA 94550-2313
	(304) 596-4423
	Not Available

Map and Direction

Provider's Profile

Full Name	Mikayla Alice Grant
Gender	Female
Speciality	Nurse Practitioner - Family
Location	634 Joyce St, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437852985
Provider Enumeration Date: 03/23/2023
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 5890153290
Enrollment ID: I20230616000602

Medical Identifiers

Medical identifiers for Mikayla Alice Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437852985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95245076 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95024930 (California)	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. Mikayla Alice Grant allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Mikayla Alice 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
Mikayla Alice Grant, 634 Joyce St, Livermore, CA 94550-2313 Ph: (304) 596-4423	Mikayla Alice Grant, 634 Joyce St, Livermore, CA 94550-2313 Ph: (304) 596-4423

Reviews and Comments

Nurse Practitioner Nurses in Livermore, CA

Ms. Andrea E Picchi, MS, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Las Positas Rd, Livermore, CA 94551 Phone: 925-243-4416 Fax: 925-243-4420
Donna Kay Bierut, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1985 First St Ste 205, Livermore, CA 94550 Phone: 925-484-5483 Fax: 925-484-5427
Maruska Sanchez, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5348 Treeflower Dr, Livermore, CA 94551 Phone: 925-963-3387
Mrs. Rebecca Lynne Macisaac, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7000 East Ave, Livermore, CA 94550 Phone: 925-422-8920
Emily A Matthew, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 840 Hanover St, Livermore, CA 94551 Phone: 202-517-3154
Lisa Michelle Banke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6999 Arroyo Rd, Livermore, CA 94550 Phone: 925-784-9253
Rukhsana Munaf Gross, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1650 Bridle Path Ct, Livermore, CA 94551 Phone: 925-980-1565

Mikayla Alice Grant, - Medicare Nurse Practitioner in Livermore, CA