Mr Blake Alan Grant, PMHNP-BC - Nurse Practitioner in Austin, TX

Mr Blake Alan Grant, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Austin, Texas. Mr Blake Alan Grant is licensed to practice in Texas (license number 1109094) and his current practice location is 4005 Banister Ln Ste 200c, Austin, Texas. He can be reached at his office (for appointments etc.) via phone at (512) 328-7222.

NPI number for Mr Blake Alan Grant is 1003522293 and his current mailing address is 4005 Banister Ln Ste 200c, Austin, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003522293.

Contact Information

Mr Blake Alan Grant, PMHNP-BC
4005 Banister Ln Ste 200c,
Austin, TX 78704-8077
(512) 328-7222
Not Available

Map and Direction




Provider's Profile

Full NameMr Blake Alan Grant
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location4005 Banister Ln Ste 200c, Austin, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003522293
  • Provider Enumeration Date: 01/30/2023
  • Last Update Date: 08/30/2023

Medical Identifiers

Medical identifiers for Mr Blake Alan Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003522293NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1109094 (Texas)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. Mr Blake Alan Grant is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Blake Alan Grant, PMHNP-BC
4005 Banister Ln Ste 200c,
Austin, TX 78704-8077

Ph: (806) 893-1778
Mr Blake Alan Grant, PMHNP-BC
4005 Banister Ln Ste 200c,
Austin, TX 78704-8077

Ph: (512) 328-7222

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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