Mrs Alisha Janelle Grayson, APRN, FNP-C is a medicare enrolled "Family Medicine - Adult Medicine" in Hungtingon, West Virginia. Her current practice location is
828 Washington Ave, Hungtingon, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 529-0466.
Mrs Alisha Janelle Grayson is licensed to practice in West Virginia (license number 105808) 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 1174781553.
Provider's Profile
| Full Name | Mrs Alisha Janelle Grayson |
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| Gender | Female |
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| Speciality | Family Medicine - Adult Medicine |
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| Location | 828 Washington Ave, Hungtingon, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174781553
- Provider Enumeration Date: 06/02/2008
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921493677
- Enrollment ID: I20220316003472
Medical Identifiers
Medical identifiers for Mrs Alisha Janelle Grayson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174781553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 52323 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 105808 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704412843 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 105808 (West Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0027650 (Ohio) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 105808 (West Virginia) | 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. Mrs Alisha Janelle Grayson allows following entities to bill medicare on her behalf.
| Entity Name | Adobe Provider Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659850279
PECOS PAC ID: 0749683480
Enrollment ID: O20210719003252 |
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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. Mrs Alisha Janelle Grayson 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 |
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Mrs Alisha Janelle Grayson, APRN, FNP-C
828 Washington Ave,
Hungtingon, WV 25704
Ph: (304) 529-0466 | Mrs Alisha Janelle Grayson, APRN, FNP-C
828 Washington Ave,
Hungtingon, WV 25704
Ph: (304) 529-0466 |
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