Tina Grant, AGACNP-BC in Denver, CO - Medicare Nurse Practitioner

Tina Grant, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Denver, Colorado. Her current practice location is 1265 S Broadway, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 894-0144.

Tina Grant is licensed to practice in Colorado (license number 996196) 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 1134882079.

Contact Information

	Tina Grant, AGACNP-BC
	1265 S Broadway, Denver, CO 80210-1503
	(303) 894-0144
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Grant
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1265 S Broadway, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134882079
Provider Enumeration Date: 10/18/2021
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 2567830466
Enrollment ID: I20221128001246

Medical Identifiers

Medical identifiers for Tina Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134882079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	996196 (Colorado)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	996196 (Colorado)	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. Tina Grant allows following entities to bill medicare on her behalf.

Entity Name	Magnolia Rehabilitation Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174199988 PECOS PAC ID: 2769883297 Enrollment ID: O20210622001886

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. Tina Grant 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
Tina Grant, AGACNP-BC 10187 W 52nd Pl Unit 306, Wheat Ridge, CO 80033-6842 Ph: (720) 837-9110	Tina Grant, AGACNP-BC 1265 S Broadway, Denver, CO 80210-1503 Ph: (303) 894-0144

Reviews and Comments

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Tina Grant, AGACNP-BC - Medicare Nurse Practitioner in Denver, CO