Grace R Grandville, PA is a medicare enrolled "Physician Assistant" in E. Setauket, New York. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Stony Brook Orthopaedic Associates, University Faculty Practice Corpor and her current practice location is
181 Belle Mead Road, Suite 5, E. Setauket, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 444-2225.
Grace R Grandville is licensed to practice in New York (license number 012080) 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 1033382098.
Provider's Profile
| Full Name | Grace R Grandville |
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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 | 181 Belle Mead Road, E. Setauket, New York |
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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:
- Grace R Grandville graduated from nursing school in 2007
NPI Data:
- NPI Number: 1033382098
- Provider Enumeration Date: 04/10/2008
- Last Update Date: 04/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 1456430933
- Enrollment ID: I20080508000679
Medical Identifiers
Medical identifiers for Grace R Grandville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033382098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 012080 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stony Brook Orthopaedic Associates, University Faculty Practice Corpor | 7810886231 | 50 |
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 R Grandville allows following entities to bill medicare on her behalf.
| Entity Name | Stony Brook Orthopaedic Associates, University Faculty Practice Corpor |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154377638
PECOS PAC ID: 7810886231
Enrollment ID: O20040313000223 |
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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 R Grandville 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 |
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Grace R Grandville, PA
Po Box 1559,
Stony Brook, NY 11790
Ph: (631) 444-0650 | Grace R Grandville, PA
181 Belle Mead Road, Suite 5,
E. Setauket, NY 11733
Ph: (631) 444-2225 |
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