Grant Connell, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Lexington, South Carolina. His current practice location is
101 Ashley Hills Dr, Lexington, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 351-3938.
Grant Connell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760245013.
Provider's Profile
| Full Name | Grant Connell |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 101 Ashley Hills Dr, Lexington, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760245013
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799215653
- Enrollment ID: I20250206002219
Medical Identifiers
Medical identifiers for Grant Connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760245013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Grant Connell 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 |
|---|
Grant Connell,
101 Ashley Hills Dr,
Lexington, SC 29072-7906
Ph: (803) 351-3938 | Grant Connell,
101 Ashley Hills Dr,
Lexington, SC 29072-7906
Ph: (803) 351-3938 |
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