Brook Ashlee Gram, PA-C is a medicare enrolled "Physician Assistant" in Beloit, Ohio. She graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice David J Corallo and her current practice location is
18586 5th St, Beloit, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 938-3333.
Brook Ashlee Gram is licensed to practice in Ohio (license number 2565) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740321090.
Provider's Profile
| Full Name | Brook Ashlee Gram |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | 18586 5th St, Beloit, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brook Ashlee Gram graduated from nursing school in 2006
NPI Data:
- NPI Number: 1740321090
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 11/06/2009
Medicare PECOS Information:
- PECOS PAC ID: 8325285166
- Enrollment ID: I20130514000712
Medical Identifiers
Medical identifiers for Brook Ashlee Gram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740321090 | NPI | - | NPPES |
| 1076079 | Other | OH | PA CERTIFICATION |
| 2565 | Other | OH | STATE MEDICAL BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2565 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| David J Corallo | 1153466438 | 2 |
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. Brook Ashlee Gram 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 |
|---|
Brook Ashlee Gram, PA-C
2242 Parkway Blvd,
Alliance, OH 44601-4650
Ph: (330) 823-7855 | Brook Ashlee Gram, PA-C
18586 5th St,
Beloit, OH 44609-9799
Ph: (330) 938-3333 |
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