| Shaylah Grant, NP | |
|
121 Lincoln St Ste 2r, Worcester, MA 01605-2429 | |
| (508) 388-1325 | |
| Not Available |
| Full Name | Shaylah Grant |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 121 Lincoln St Ste 2r, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356076228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN2324295 (Massachusetts) | Primary |
| 163W00000X | Registered Nurse | RN2324295 (Massachusetts) | Secondary |
| Entity Name | Focused Primary Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912626615 PECOS PAC ID: 4880067610 Enrollment ID: O20230227001383 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaylah Grant, NP 121 Lincoln St Ste 2r, Worcester, MA 01605-2429 Ph: (508) 388-1325 | Shaylah Grant, NP 121 Lincoln St Ste 2r, Worcester, MA 01605-2429 Ph: (508) 388-1325 |
Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710 |
Erin Marie Bednarek, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Kendall St, Worcester, MA 01605 Phone: 508-334-6255 Fax: 508-334-6063 |
Natalia Alexandrovna Kottler, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 |
Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609 |
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761 |
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552 |
Mavis A Amponsah, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Lake Ave N, Worcester, MA 01605 Phone: 508-667-1124 |