Dr Alissa Michelle Grant, MD is a
Pediatrics physician based in Mena, Arkansas. Dr Alissa Michelle Grant is licensed to practice in Arkansas (license number E-7744) and her current practice location is 900 Highway 71 N, Mena, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(479) 394-5439.
NPI number for Dr Alissa Michelle Grant is 1003016700 and her current mailing address is 900 Highway 71 N, Mena, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003016700.
Physician's Profile
| Full Name | Dr Alissa Michelle Grant |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 900 Highway 71 N, Mena, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003016700
- Provider Enumeration Date: 07/20/2007
- Last Update Date: 06/11/2021
Medical Identifiers
Medical identifiers for Dr Alissa Michelle Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003016700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | E-7744 (Arkansas) | Primary |
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. Dr Alissa Michelle Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alissa Michelle Grant, MD
900 Highway 71 N,
Mena, AR 71953-4304
Ph: (479) 394-5439 | Dr Alissa Michelle Grant, MD
900 Highway 71 N,
Mena, AR 71953-4304
Ph: (479) 394-5439 |
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