Denise Marie Grady, APRN is a medicare enrolled "Nurse Practitioner" physician in Winston Salem, North Carolina. Her current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-3520.
Denise Marie Grady is licensed to practice in North Carolina (license number 5011629) 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 1336600618.
Physician's Profile
| Full Name | Denise Marie Grady |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336600618
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 02/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890037089
- Enrollment ID: I20190509000728
Medical Identifiers
Medical identifiers for Denise Marie Grady such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336600618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | 5011629 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5011629 (New York) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 5011629 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5011629 (North Carolina) | 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. Denise Marie Grady allows following entities to bill medicare on her behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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. Denise Marie Grady 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 |
|---|
Denise Marie Grady, APRN
3850 White Petals Ct,
Winston Salem, NC 27107-6052
Ph: (336) 529-4120 | Denise Marie Grady, APRN
1 Medical Center Blvd,
Winston Salem, NC 27157-0001
Ph: (336) 716-3520 |
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