Mr Omar Cordell Grant, PA-C in Lakewood Ranch, FL

Mr Omar Cordell Grant, PA-C is a medicare enrolled "Physician Assistant - Medical" in Lakewood Ranch, Florida. His current practice location is 8130 Lakewood Main St Ste 103, Lakewood Ranch, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 499-2700.

Mr Omar Cordell Grant is licensed to practice in Florida (license number PA9107410) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831522374.

Contact Information

	Mr Omar Cordell Grant, PA-C
	8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068
	(941) 499-2700
	(941) 487-0474

Map and Direction

Provider's Profile

Full Name	Mr Omar Cordell Grant
Gender	Male
Speciality	Physician Assistant - Medical
Location	8130 Lakewood Main St Ste 103, Lakewood Ranch, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831522374
Provider Enumeration Date: 08/20/2013
Last Update Date: 03/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9234353012
Enrollment ID: I20140618000272

Medical Identifiers

Medical identifiers for Mr Omar Cordell Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831522374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	PA9107410 (Florida)	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 Omar Cordell 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
Mr Omar Cordell Grant, PA-C 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068 Ph: (941) 499-2700	Mr Omar Cordell Grant, PA-C 8130 Lakewood Main St Ste 103, Lakewood Ranch, FL 34202-5068 Ph: (941) 499-2700

Reviews and Comments

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Mr Omar Cordell Grant, PA-C - Medicare Physician Assistant in Lakewood Ranch, FL