Ms Eboni K Grant, NP in Bronx, NY - Medicare Nurse Practitioner

Ms Eboni K Grant, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Bronx, New York. Her current practice location is 1650 Grand Concourse, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 239-8383.

Ms Eboni K Grant is licensed to practice in New York (license number 421600) 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 1801596358.

Contact Information

	Ms Eboni K Grant, NP
	1650 Grand Concourse, Bronx, NY 10457-7606
	(718) 239-8383
	(718) 239-8360

Map and Direction

Provider's Profile

Full Name	Ms Eboni K Grant
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1650 Grand Concourse, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801596358
Provider Enumeration Date: 03/03/2023
Last Update Date: 03/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5597121426
Enrollment ID: I20230519000961

Medical Identifiers

Medical identifiers for Ms Eboni K Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801596358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	421600 (New York)	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. Ms Eboni K Grant allows following entities to bill medicare on her behalf.

Entity Name	Bronxcare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082

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. Ms Eboni K 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
Ms Eboni K Grant, NP 715 Fox St Apt 5a, Bronx, NY 10455-2078 Ph: () -	Ms Eboni K Grant, NP 1650 Grand Concourse, Bronx, NY 10457-7606 Ph: (718) 239-8383

Reviews and Comments

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Ms Eboni K Grant, NP - Medicare Nurse Practitioner in Bronx, NY