| Dr Lyntressa Danielle Grant, PMHNP-BC | |
|
111 Sw 5th Ave, Portland, OR 97204-3604 | |
| (866) 277-9071 | |
| Not Available |
| Full Name | Dr Lyntressa Danielle Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 111 Sw 5th Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083955793 | NPI | - | NPPES |
| DMAP500698768 | Medicaid | OR | |
| 009044300 | Medicaid | FL | |
| 030323 | Medicaid | AZ |
| Entity Name | Inpatient Consultants Of Florida, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
| Entity Name | Wekiva Springs Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942471065 PECOS PAC ID: 0042395931 Enrollment ID: O20140818001428 |
| Entity Name | Direct Access Counseling & Supportive Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
| Entity Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679048284 PECOS PAC ID: 7517202112 Enrollment ID: O20190102000426 |
| Entity Name | Moore Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871117572 PECOS PAC ID: 9638354889 Enrollment ID: O20200911000247 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Medical Psychiatric Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083481824 PECOS PAC ID: 7810434446 Enrollment ID: O20240801000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lyntressa Danielle Grant, PMHNP-BC 11100 Sw 93rd Court Rd, Suite 10-box 118, Ocala, FL 34481 Ph: (833) 437-5433 | Dr Lyntressa Danielle Grant, PMHNP-BC 111 Sw 5th Ave, Portland, OR 97204-3604 Ph: (866) 277-9071 |
Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988 | |
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555 | |
Iva Juric, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808 | |
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575 | |
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090 | |
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Sw Morrison St Ste 730, Portland, OR 97205 Phone: 971-354-9242 | |
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700 |