Mary E Grandon, PA-C - Medicare Physician Assistant in Clendenin, WV

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Mary E Grandon, PA-C is a medicare enrolled "Physician Assistant" in Clendenin, West Virginia. She graduated from nursing school in 1992 and has 34 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cabin Creek Health Center Inc and her current practice location is 107 Koontz Ave. Ste. 200, Clendenin, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 548-7272.

Mary E Grandon is licensed to practice in West Virginia (license number 00616) 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 1790754638.

Contact Information

Mary E Grandon, PA-C
107 Koontz Ave. Ste. 200,
Clendenin, WV 25045
(304) 548-7272
(304) 548-7149

Map and Direction




Provider's Profile

Full NameMary E Grandon
GenderFemale
SpecialityPhysician Assistant
Experience34 Years
Location107 Koontz Ave. Ste. 200, Clendenin, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary E Grandon graduated from nursing school in 1992
  NPI Data:
  • NPI Number: 1790754638
  • Provider Enumeration Date: 03/14/2006
  • Last Update Date: 05/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587550702
  • Enrollment ID: I20040225000326

Medical Identifiers

Medical identifiers for Mary E Grandon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790754638NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 00616 (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cabin Creek Health Center Inc246643110141

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. Mary E Grandon allows following entities to bill medicare on her behalf.
Entity NameCabin Creek Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096

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. Mary E Grandon 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 AddressPractice Location Address
Mary E Grandon, PA-C
Po Box 70,
Dawes, WV 25054

Ph: (304) 734-2040		Mary E Grandon, PA-C
107 Koontz Ave. Ste. 200,
Clendenin, WV 25045

Ph: (304) 548-7272

Reviews and Comments


Physician Assistant Nurses in Clendenin, WV

Rachael D. Mitchell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045
Phone: 304-548-7272    Fax: 304-548-7149
Chelsea Agnew, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045
Phone: 304-548-7272    
Ms. Jennifer Lynn Thayer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045
Phone: 304-548-7272    Fax: 304-548-7149
Trenton Ryan Johnson,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045
Phone: 304-548-7272    Fax: 304-542-7149

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.