Dr Eleonore Grant, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. Her current practice location is
3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(607) 339-9194.
Dr Eleonore Grant is licensed to practice in * (Not Available) (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 1629718630.
Physician's Profile
Full Name | Dr Eleonore Grant |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 3400 Spruce St, Philadelphia, Pennsylvania |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629718630
- Provider Enumeration Date: 03/29/2022
- Last Update Date: 07/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 0840679304
- Enrollment ID: I20220614001849
Medical Identifiers
Medical identifiers for Dr Eleonore Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629718630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 1.082247-RES (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Eleonore 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 |
Dr Eleonore Grant, MD 20 York St, New Haven, CT 06510-3220 Ph: () - | Dr Eleonore Grant, MD 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (607) 339-9194 |
Reviews and Comments