Ms Mary Elizabeth Grant, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gulfport, Florida. Her current practice location is
1120 63rd St S, Gulfport, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 347-2914.
Ms Mary Elizabeth Grant is licensed to practice in Ohio (license number 019367) 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 1114139581.
Provider's Profile
| Full Name | Ms Mary Elizabeth Grant |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1120 63rd St S, Gulfport, Florida |
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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: 1114139581
- Provider Enumeration Date: 05/05/2007
- Last Update Date: 04/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082687223
- Enrollment ID: I20040817000250
Medical Identifiers
Medical identifiers for Ms Mary Elizabeth Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114139581 | NPI | - | NPPES |
| 300887800 | Medicaid | FL | |
| 764196600 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | ARNP 1572502 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP 1572502 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 019367 (Ohio) | 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 Mary Elizabeth Grant allows following entities to bill medicare on her behalf.
| Entity Name | Winter Haven Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477599975
PECOS PAC ID: 4789578972
Enrollment ID: O20040210000095 |
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| Entity Name | Baycare Behavioral Health Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245502152
PECOS PAC ID: 2567624836
Enrollment ID: O20120502000477 |
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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. Ms Mary Elizabeth 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 Mary Elizabeth Grant, ARNP
1120 63rd St S,
Gulfport, FL 33707-3125
Ph: (727) 347-2914 | Ms Mary Elizabeth Grant, ARNP
1120 63rd St S,
Gulfport, FL 33707-3125
Ph: (727) 347-2914 |
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