Mrs Paulette Kathleen Grant, PAC is a medicare enrolled "Physician Assistant - Medical" in Clyde, Ohio. Her current practice location is
112 Independence Way Ste 110, Clyde, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 483-9000.
Mrs Paulette Kathleen Grant is licensed to practice in Ohio (license number 50-00-0434) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295763274.
Provider's Profile
Full Name | Mrs Paulette Kathleen Grant |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 112 Independence Way Ste 110, Clyde, Ohio |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Paulette Kathleen Grant attended and graduated from in
NPI Data:
- NPI Number: 1295763274
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 09/21/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Paulette Kathleen Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295763274 | NPI | - | NPPES |
50-00-0434 | Other | OH | PHYSICIAN ASSISTANT REG |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 50-00-0434 (Ohio) | 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. Mrs Paulette Kathleen 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 |
Mrs Paulette Kathleen Grant, PAC Po Box 378, Sandusky, OH 44871-0378 Ph: (419) 609-1112 | Mrs Paulette Kathleen Grant, PAC 112 Independence Way Ste 110, Clyde, OH 43410-9812 Ph: (419) 483-9000 |
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