Mary T Granholm, RN MSN APN - Medicare Registered Nurse in Hackensack, NJ

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Mary T Granholm, RN MSN APN is a medicare enrolled "Registered Nurse - Oncology" in Hackensack, New Jersey. Her current practice location is 20 Prospect Ave, Suite 400, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 336-8297.

Mary T Granholm is licensed to practice in New Jersey (license number 26NJ00189400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861620155.

Contact Information

Mary T Granholm, RN MSN APN
20 Prospect Ave, Suite 400,
Hackensack, NJ 07601-1997
(201) 336-8297
(201) 336-8296

Map and Direction




Provider's Profile

Full NameMary T Granholm
GenderFemale
SpecialityRegistered Nurse - Oncology
Location20 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861620155
  • Provider Enumeration Date: 06/25/2009
  • Last Update Date: 06/25/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 5294188389
  • Enrollment ID: I20240124004689

Medical Identifiers

Medical identifiers for Mary T Granholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861620155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0200XRegistered Nurse - Oncology 26NJ00189400 (New Jersey)Primary

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 T Granholm allows following entities to bill medicare on her behalf.
Entity NameValley Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467815928
PECOS PAC ID: 3577857333
Enrollment ID: O20160802002824

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 T Granholm 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 T Granholm, RN MSN APN
26 Twin Lakes Dr,
Airmont, NY 10952-4414

Ph: (845) 356-8777		Mary T Granholm, RN MSN APN
20 Prospect Ave, Suite 400,
Hackensack, NJ 07601-1997

Ph: (201) 336-8297

Reviews and Comments


Registered Nurse Nurses in Hackensack, NJ

Ms. Theresa M Gabay, APRN, BC
Registered Nurse
Medicare: May Accept Medicare Assignments
Practice Location: 20 Prospect Ave, Suite 800, Hackensack, NJ 07601
Phone: 201-996-5251    Fax: 201-968-0163
Lisa Ha,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 20 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Dylan John Waligroski, MSN, RN, APN, FNP-C
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Rayfred Josephine Ansah, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 11 State St Unit 202, Hackensack, NJ 07601
Phone: 201-402-9550    Fax: 201-402-9549
Nadine Clarke-bailey,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2 University Plz Ste 100, Hackensack, NJ 07601
Phone: 201-805-6131    
Alexa Mckeon,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 160 River St Apt 424, Hackensack, NJ 07601
Phone: 732-501-5741    
La Risa Graham, APRN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2 Univeristy Plz Ste 100, Hackensack, NJ 07601
Phone: 347-753-8833    

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.

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