Grace Mighty, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in South Windsor, Connecticut. Her current practice location is
140 Oxford Dr, South Windsor, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 328-6208.
Grace Mighty is licensed to practice in Connecticut (license number 13299) 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 1770352254.
Physician's Profile
| Full Name | Grace Mighty |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 140 Oxford Dr, South Windsor, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770352254
- Provider Enumeration Date: 12/27/2023
- Last Update Date: 03/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658894068
- Enrollment ID: I20250326002636
Medical Identifiers
Medical identifiers for Grace Mighty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770352254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 2023061424 (Connecticut) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 13299 (Connecticut) | 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. Grace Mighty allows following entities to bill medicare on her behalf.
| Entity Name | Step Up Care Pc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
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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. Grace Mighty 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 |
Grace Mighty, 140 Oxford Dr, South Windsor, CT 06074-1581 Ph: () - | Grace Mighty, 140 Oxford Dr, South Windsor, CT 06074-1581 Ph: (860) 328-6208 |
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