Mrs Paulette Kathleen Grant, PAC is a medicare enrolled "Physician Assistant - Medical" in Clyde, Ohio. She graduated from nursing school in 1986 and has 38 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cleveland Clinic Foundation and 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 | Physician Assistant |
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Experience | 38 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 graduated from nursing school in 1986
NPI Data:
- NPI Number: 1295763274
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 09/21/2018
Medicare PECOS Information:
- PECOS PAC ID: 2860591922
- Enrollment ID: I20070702000009
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cleveland Clinic Foundation | 1850203555 | 5680 |
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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