Mr Nicholas J Grande Jr, PAC - Medicare Physician Assistant in Davenport, IA

Mr Nicholas J Grande Jr, PAC is a medicare enrolled "Physician Assistant - Medical" in Davenport, Iowa. His current practice location is 1227 E Rusholme St, Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-1000.

Mr Nicholas J Grande Jr 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 1316085756.

Contact Information

Mr Nicholas J Grande Jr, PAC
1227 E Rusholme St,
Davenport, IA 52803-2459
(563) 421-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Nicholas J Grande Jr
GenderMale
SpecialityPhysician Assistant - Medical
Location1227 E Rusholme St, Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316085756
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 02/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800971532
  • Enrollment ID: I20221206000356

Medical Identifiers

Medical identifiers for Mr Nicholas J Grande Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316085756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (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. Mr Nicholas J Grande Jr 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
Mr Nicholas J Grande Jr, PAC
650 Huebner Rd,
Fort Riley, KS 66442-4030

Ph: () -
Mr Nicholas J Grande Jr, PAC
1227 E Rusholme St,
Davenport, IA 52803-2459

Ph: (563) 421-1000

Reviews and Comments


Physician Assistant Nurses in Davenport, IA

Kelsey Israelson,
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Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Miss Taylor Evelyn Timpe,
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Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Caitlin J Wilson, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 1230 E Rusholme St, Suite 150, Davenport, IA 52803
Phone: 563-421-3990    Fax: 563-421-3999
Tiffany Jo Schick,
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Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5886    
Madeline Rose Mackinac,
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Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Grace Elizabeth Valen Gatrost,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 W Lombard St, Davenport, IA 52804
Phone: 563-333-5827    
Charles Grant Dennehey,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-421-1000    

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.