Mrs Amber Marie Dwan Grassman, RN/BSN is a medicare enrolled "Nurse Practitioner - Gerontology" in Dalton, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eventus Ecs, Inc, Extended Care Specialists, Inc, Neogeriatrics and her current practice location is
13984 Lake Court Dr, Dalton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 749-2044.
Mrs Amber Marie Dwan Grassman is licensed to practice in Ohio (license number APRN.CNP.0033608) 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 1629643242.
Provider's Profile
| Full Name | Mrs Amber Marie Dwan Grassman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 13984 Lake Court Dr, Dalton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Amber Marie Dwan Grassman graduated from nursing school in 2019
NPI Data:
- NPI Number: 1629643242
- Provider Enumeration Date: 05/25/2021
- Last Update Date: 07/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476815044
- Enrollment ID: I20230509002720
Medical Identifiers
Medical identifiers for Mrs Amber Marie Dwan Grassman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629643242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 364169 (Ohio) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | APRN.CNP.0033608 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Eventus Ecs, Inc | 2163969650 | 230 |
| Extended Care Specialists, Inc | 2466407713 | 271 |
| Neogeriatrics | 7618022849 | 3 |
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. Mrs Amber Marie Dwan Grassman allows following entities to bill medicare on her behalf.
| Entity Name | Neogeriatrics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124259536 PECOS PAC ID: 7618022849 Enrollment ID: O20090911000162 |
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| Entity Name | Extended Care Specialists, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190522003072 |
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| Entity Name | Eventus Wholehealth Midwest Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211214001579 |
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| Entity Name | Eventus Ecs, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073353496 PECOS PAC ID: 2163969650 Enrollment ID: O20241009003496 |
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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. Mrs Amber Marie Dwan Grassman 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 Address | Practice Location Address |
Mrs Amber Marie Dwan Grassman, RN/BSN 13984 Lake Court Dr, Dalton, OH 44618-9291 Ph: (330) 749-2044 | Mrs Amber Marie Dwan Grassman, RN/BSN 13984 Lake Court Dr, Dalton, OH 44618-9291 Ph: (330) 749-2044 |
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