Telisa Grant, APRN in Jacksonville, FL - Medicare Nurse Practitioner

Telisa Grant, APRN is a medicare enrolled "Nurse Practitioner" in Jacksonville, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hni Medical Services Of Florida, Llc and her current practice location is 10257 Magnolia Ridge Dr, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 528-6357.

Telisa Grant is licensed to practice in Florida (license number APRN9215166) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720494941.

Contact Information

	Telisa Grant, APRN
	10257 Magnolia Ridge Dr, Jacksonville, FL 32210-4991
	(904) 528-6357
	Not Available

Map and Direction

Provider's Profile

Full Name	Telisa Grant
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	10257 Magnolia Ridge Dr, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Telisa Grant graduated from nursing school in 2018

NPI Data:

NPI Number: 1720494941
Provider Enumeration Date: 07/08/2014
Last Update Date: 06/22/2020

Medicare PECOS Information:

PECOS PAC ID: 1355681982
Enrollment ID: I20190319001234

Medical Identifiers

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

Identifier	Type	State	Issuer
1720494941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN9215166 (Florida)	Primary
163W00000X	Registered Nurse	RN9215166 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hni Medical Services Of Florida, Llc	7517202112	105

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. Telisa Grant allows following entities to bill medicare on her behalf.

Entity Name	Hni Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111007000131

Entity Name	Hni Medical Services Of Florida, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

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. Telisa 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
Telisa Grant, APRN 10257 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 Ph: (904) 528-6357	Telisa Grant, APRN 10257 Magnolia Ridge Dr, Jacksonville, FL 32210-4991 Ph: (904) 528-6357

Reviews and Comments

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Telisa Grant, APRN - Medicare Nurse Practitioner in Jacksonville, FL