Bethany Ann Grace, is a medicare enrolled "Nurse Practitioner - Family" in Maidsville, West Virginia. Her current practice location is
34 Par Ln, Maidsville, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 703-0498.
Bethany Ann Grace is licensed to practice in West Virginia (license number 109769) 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 1669293643.
Provider's Profile
| Full Name | Bethany Ann Grace |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 34 Par Ln, Maidsville, West Virginia |
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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: 1669293643
- Provider Enumeration Date: 10/22/2024
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9436677960
- Enrollment ID: I20250519000523
Medical Identifiers
Medical identifiers for Bethany Ann Grace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669293643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 109769 (West Virginia) | 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. Bethany Ann Grace allows following entities to bill medicare on her behalf.
| Entity Name | West Virginia University Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
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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. Bethany Ann Grace 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 |
Bethany Ann Grace, 34 Par Ln, Maidsville, WV 26541-8186 Ph: (304) 703-0498 | Bethany Ann Grace, 34 Par Ln, Maidsville, WV 26541-8186 Ph: (304) 703-0498 |
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