| Chenelle Grant, | |
|
35 Arkay Dr, Hauppauge, NY 11788-3756 | |
| (888) 674-2742 | |
| Not Available |
| Full Name | Chenelle Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 35 Arkay Dr, Hauppauge, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801441399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 344832 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simple Healthcare, Np In Family Health, Pllc | 6204362239 | 2 |
| Entity Name | Northwell Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215019500 PECOS PAC ID: 3971531039 Enrollment ID: O20070215000718 |
| Entity Name | Mission Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750898565 PECOS PAC ID: 2365705696 Enrollment ID: O20180418002058 |
| Entity Name | Simple Healthcare, Np In Family Health, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760263354 PECOS PAC ID: 6204362239 Enrollment ID: O20241213000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Chenelle Grant, 35 Arkay Dr, Hauppauge, NY 11788-3756 Ph: () - | Chenelle Grant, 35 Arkay Dr, Hauppauge, NY 11788-3756 Ph: (888) 674-2742 |
Gail Holtz, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 Bow Dr, Hauppauge, NY 11788 Phone: 631-974-6937 | |
Sandra Brown-truter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 631-979-0922 | |
Christine Anne Dorman I, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Kings Hwy, Hauppauge, NY 11788 Phone: 631-348-4900 | |
Ms. Tracy Manners, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Motor Pkwy, Hauppauge, NY 11749 Phone: 631-434-1770 | |
Oksana Boldyrev, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 282 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 347-614-7568 | |
Ms. Gayle Couleas, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 694 Motor Pkwy, Suite 101, Hauppauge, NY 11788 Phone: 631-265-9355 Fax: 631-864-8504 | |
Caroline Larosa, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Smithtown Byp Ste 204, Hauppauge, NY 11788 Phone: 631-275-6694 |