Stacey A Grant, APN in Little Rock, AR - Medicare Nurse Practitioner

Stacey A Grant, APN is a medicare enrolled "Nurse Practitioner - Acute Care" in Little Rock, Arkansas. Her current practice location is 2 Saint Vincent Cir, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 552-3000.

Stacey A Grant is licensed to practice in Arkansas (license number 215796) 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 1861060295.

Contact Information

	Stacey A Grant, APN
	2 Saint Vincent Cir, Little Rock, AR 72205-5423
	(501) 552-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacey A Grant
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2 Saint Vincent Cir, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861060295
Provider Enumeration Date: 06/13/2021
Last Update Date: 06/13/2021

Medicare PECOS Information:

PECOS PAC ID: 9830531342
Enrollment ID: I20240530000255

Medical Identifiers

Medical identifiers for Stacey A Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861060295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	215796 (Arkansas)	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. Stacey A Grant allows following entities to bill medicare on her behalf.

Entity Name	St Vincent Infirmary Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316991847 PECOS PAC ID: 5698674166 Enrollment ID: O20040103000052

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. Stacey A 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
Stacey A Grant, APN 1190 Wineberry, Conway, AR 72034-6990 Ph: (501) 697-6016	Stacey A Grant, APN 2 Saint Vincent Cir, Little Rock, AR 72205-5423 Ph: (501) 552-3000

Reviews and Comments

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Stacey A Grant, APN - Medicare Nurse Practitioner in Little Rock, AR