Massiel Grullon, - Medicare Nurse Practitioner in Far Rockaway, NY

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Massiel Grullon, is a medicare enrolled "Nurse Practitioner - Family" in Far Rockaway, New York. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vantage Medical Associates Pc, Suffolk Primary Health Llc and her current practice location is 1612 Central Ave Ste 201, Far Rockaway, New York. You can reach out to her office (for appointments etc.) via phone at (248) 860-0211.

Massiel Grullon is licensed to practice in New York (license number 337140) 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 1912248675.

Contact Information

Massiel Grullon,
1612 Central Ave Ste 201,
Far Rockaway, NY 11691-4002
(248) 860-0211
Not Available

Map and Direction




Provider's Profile

Full NameMassiel Grullon
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1612 Central Ave Ste 201, Far Rockaway, New York
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:
  • Massiel Grullon graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1912248675
  • Provider Enumeration Date: 03/06/2013
  • Last Update Date: 05/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9739323056
  • Enrollment ID: I20130926000100

Medical Identifiers

Medical identifiers for Massiel Grullon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912248675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 337140 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vantage Medical Associates Pc054767381684
Suffolk Primary Health Llc943642051046

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. Massiel Grullon allows following entities to bill medicare on her behalf.
Entity NameBronx Anesthesia Services, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225330103
PECOS PAC ID: 9739360421
Enrollment ID: O20110301000635
Entity NameEast Post Road Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841767274
PECOS PAC ID: 6406198506
Enrollment ID: O20190419000178
Entity NameVantage Medical Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538642996
PECOS PAC ID: 0547673816
Enrollment ID: O20210105001373

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. Massiel Grullon 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
Massiel Grullon,
559 Mile Square Rd,
Yonkers, NY 10701-6345

Ph: (914) 548-3033		Massiel Grullon,
1612 Central Ave Ste 201,
Far Rockaway, NY 11691-4002

Ph: (248) 860-0211

Reviews and Comments


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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.