Roshanda Grayson-thomas, APRN - Medicare Nurse Practitioner in Portage, IN

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Roshanda Grayson-thomas, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Portage, Indiana. Her current practice location is 6050 Sterling Creek Rd, Portage, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 219-7638.

Roshanda Grayson-thomas is licensed to practice in Indiana (license number 71010601A) 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 1619415874.

Contact Information

Roshanda Grayson-thomas, APRN
6050 Sterling Creek Rd,
Portage, IN 46368-7752
(219) 219-7638
Not Available

Map and Direction




Provider's Profile

Full NameRoshanda Grayson-thomas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6050 Sterling Creek Rd, Portage, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619415874
  • Provider Enumeration Date: 02/08/2017
  • Last Update Date: 12/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7214342930
  • Enrollment ID: I20221026000199

Medical Identifiers

Medical identifiers for Roshanda Grayson-thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619415874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28201839A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health PENDING (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71010601A (Indiana)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. Roshanda Grayson-thomas allows following entities to bill medicare on her behalf.
Entity NameLong Valley Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366467375
PECOS PAC ID: 8628965852
Enrollment ID: O20040302001373
Entity NameMendocino Community Health Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497961106
PECOS PAC ID: 6305755455
Enrollment ID: O20040826001483
Entity NameMendocino Coast Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609595404
PECOS PAC ID: 5991619157
Enrollment ID: O20050512001033

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. Roshanda Grayson-thomas 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
Roshanda Grayson-thomas, APRN
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: (219) 763-8112		Roshanda Grayson-thomas, APRN
6050 Sterling Creek Rd,
Portage, IN 46368-7752

Ph: (219) 219-7638

Reviews and Comments


Nurse Practitioner Nurses in Portage, IN

Lauren A Ostrowski-winkler, NP
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Practice Location: 3564 Scottsdale St, Portage, IN 46368
Phone: 219-763-8112    Fax: 219-764-3251
Roxanne Gayle Robinson,
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Practice Location: 3691 Willowcreek Rd, Portage, IN 46368
Phone: 219-921-1444    Fax: 219-921-5303
Sara Elizabeth Berry, FNP
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Medicare: Medicare Enrolled
Practice Location: 6450 Us Highway 6, Portage, IN 46368
Phone: 219-763-8112    Fax: 219-764-6348
Sheila Watson, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3170 Willowcreek Rd, Portage, IN 46368
Phone: 219-947-6628    
Jessica Rose Baldwin, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368
Phone: 219-763-8112    
Patricia Evelyn Biel, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3170 Willowcreek Rd, Portage, IN 46368
Phone: 219-947-6385    Fax: 219-703-6787
Jennifer Eunice Mola,
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Medicare: Medicare Enrolled
Practice Location: 6131 Us Highway 6, Portage, IN 46368
Phone: 219-841-9788    

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).

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