Stacey M Grant, in Jacksonville, FL - Medicare Counselor Provider

Stacey M Grant, is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. Her current practice location is 4243 Sunbeam Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 443-4692.

Stacey M Grant is licensed to practice in Florida (license number ) 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 1184278749.

Contact Information

	Stacey M Grant,
	4243 Sunbeam Rd, Jacksonville, FL 32257-8848
	(904) 443-4692
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey M Grant
Gender	Female
Speciality	Counselor - Mental Health
Location	4243 Sunbeam Rd, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184278749
Provider Enumeration Date: 07/31/2019
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1850839671
Enrollment ID: I20240812002683

Medical Identifiers

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

Identifier	Type	State	Issuer
1184278749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	MH24087 (Florida)	Secondary
101YM0800X	Counselor - Mental Health	(Florida)	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 M Grant allows following entities to bill medicare on her behalf.

Entity Name	Medical Specialists Of Northeast Florida Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285938936 PECOS PAC ID: 4587848163 Enrollment ID: O20110405001104

Entity Name	Ace Medical Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265772370 PECOS PAC ID: 3971745712 Enrollment ID: O20130807000993

Entity Name	Thriveworks Clinical - Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675

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 M 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 M Grant, 7768 Andes Dr, Jacksonville, FL 32244 Ph: (904) 434-6920	Stacey M Grant, 4243 Sunbeam Rd, Jacksonville, FL 32257-8848 Ph: (904) 443-4692

Reviews and Comments

Counselor in Jacksonville, FL

Mrs. Gloria Hanania, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 390 Park St, Jacksonville, FL 32204 Phone: 904-899-6300
Ms. Clare Denise Benjamin, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 12058 San Jose Blvd Ste 802, Jacksonville, FL 32223 Phone: 904-910-9060
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Dawn S. Liphart, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11265 Alumni Way, Jacksonville, FL 32246 Phone: 904-398-2020 Fax: 904-724-2172
Stanvonna Shootes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Clark Rd, Suite 107, Jacksonville, FL 32218 Phone: 904-765-0665 Fax: 904-765-0664
Mrs. Amanda Sweat, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8465 Merchants Way Ste 206, Jacksonville, FL 32222 Phone: 423-206-2299 Fax: 423-717-5594
Stephanie Cheryl Bosh, MS, MCAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Jacksonville, FL 32254 Phone: 904-423-0017

Stacey M Grant, - Medicare Counselor in Jacksonville, FL