Natay Grajales, is a medicare enrolled "Nurse Practitioner" in South Hackensack, New Jersey. Her current practice location is
81 Phillips Ave, South Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 723-0660.
Natay Grajales is licensed to practice in New Jersey (license number 26NJ00700000) 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 1295271245.
Provider's Profile
| Full Name | Natay Grajales |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 81 Phillips Ave, South Hackensack, New Jersey |
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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: 1295271245
- Provider Enumeration Date: 01/16/2017
- Last Update Date: 01/16/2017
Medicare PECOS Information:
- PECOS PAC ID: 8224363619
- Enrollment ID: I20190708001045
Medical Identifiers
Medical identifiers for Natay Grajales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295271245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 26NJ00700000 (New Jersey) | 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. Natay Grajales allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Cardiovascular Interventions, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134433121
PECOS PAC ID: 5193913077
Enrollment ID: O20101220000086 |
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| Entity Name | Icu Nj Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093123309
PECOS PAC ID: 4082836697
Enrollment ID: O20141117000283 |
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| Entity Name | Hook Inpatient Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083160543
PECOS PAC ID: 4981987328
Enrollment ID: O20170210000029 |
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| Entity Name | Diligent Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861977902
PECOS PAC ID: 0749533974
Enrollment ID: O20181105002027 |
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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. Natay Grajales 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 |
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Natay Grajales,
81 Phillips Ave,
South Hackensack, NJ 07606-1500
Ph: (201) 723-0660 | Natay Grajales,
81 Phillips Ave,
South Hackensack, NJ 07606-1500
Ph: (201) 723-0660 |
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