Nicholos Grant, LPC in Wyncote, PA - Medicare Counselor Provider

Nicholos Grant, LPC is a medicare enrolled "Counselor - Professional" provider in Wyncote, Pennsylvania. His current practice location is 2401 W Cheltenham Ave, Wyncote, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 444-7471.

Nicholos Grant is licensed to practice in Pennsylvania (license number PC017383) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124858329.

Contact Information

	Nicholos Grant, LPC
	2401 W Cheltenham Ave, Wyncote, PA 19095-2946
	(215) 444-7471
	(215) 695-2935

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholos Grant
Gender	Male
Speciality	Counselor - Professional
Location	2401 W Cheltenham Ave, Wyncote, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124858329
Provider Enumeration Date: 08/03/2024
Last Update Date: 04/28/2025

Medicare PECOS Information:

PECOS PAC ID: 3274060819
Enrollment ID: I20241220002513

Medical Identifiers

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

Identifier	Type	State	Issuer
1124858329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC017383 (Pennsylvania)	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. Nicholos Grant allows following entities to bill medicare on his behalf.

Entity Name	Osh - Pa Physicians Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811405533 PECOS PAC ID: 7517213879 Enrollment ID: O20180629000414

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. Nicholos 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
Nicholos Grant, LPC Po Box 746722, Atlanta, GA 30374-6722 Ph: (773) 352-1515	Nicholos Grant, LPC 2401 W Cheltenham Ave, Wyncote, PA 19095-2946 Ph: (215) 444-7471

Reviews and Comments

Counselor in Wyncote, PA

Dr. Beth A. Rhoads, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Waverly Rd, Wyncote, PA 19095 Phone: 215-316-2255
Joyce D Wilson-roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8460 Limekiln Pike Apt 234, Wyncote, PA 19095 Phone: 267-626-3110
Rebekah Adens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Washington Ln Ste 6aa2, Wyncote, PA 19095 Phone: 267-414-3449
Sierra Teresa Doyle, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8470 Limekiln Pike Apt 602, Wyncote, PA 19095 Phone: 215-207-1470
Ann L Colley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Washington Ln Ste 6a2, Wyncote, PA 19095 Phone: 267-800-6589 Fax: 773-632-0572
Miss Sydney Vaughn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Washington Ln Ste 3a, Wyncote, PA 19095 Phone: 267-810-7589

Nicholos Grant, LPC - Medicare Counselor in Wyncote, PA