Ms Kimberly Gilliam Grant, PA-C - Medicare Physician Assistant in Fresno, CA

Ms Kimberly Gilliam Grant, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fresno, California. Her current practice location is 6107 N 1st St Ste 103, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 432-4963.

Ms Kimberly Gilliam Grant is licensed to practice in Florida (license number 9109580) 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 1871569855.

Contact Information

Ms Kimberly Gilliam Grant, PA-C
6107 N 1st St Ste 103,
Fresno, CA 93710-5460
(559) 432-4963
Not Available

Map and Direction




Provider's Profile

Full NameMs Kimberly Gilliam Grant
GenderFemale
SpecialityPhysician Assistant - Medical
Location6107 N 1st St Ste 103, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871569855
  • Provider Enumeration Date: 02/28/2006
  • Last Update Date: 05/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0042230989
  • Enrollment ID: I20190503000943

Medical Identifiers

Medical identifiers for Ms Kimberly Gilliam Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871569855NPI-NPPES
0576APAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA642 (Tennessee)Secondary
363AM0700XPhysician Assistant - Medical 9109580 (Florida)Primary
363AM0700XPhysician Assistant - Medical TL1232 (South Carolina)Secondary

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 Kimberly Gilliam 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 AddressPractice Location Address
Ms Kimberly Gilliam Grant, PA-C
6107 N 1st St Ste 103,
Fresno, CA 93710-5460

Ph: (559) 432-4963
Ms Kimberly Gilliam Grant, PA-C
6107 N 1st St Ste 103,
Fresno, CA 93710-5460

Ph: (559) 432-4963

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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