Audrey Nadine Grant, PAC in Washington, DC - Medicare Physician Assistant

Audrey Nadine Grant, PAC is a medicare enrolled "Physician Assistant - Surgical" in Washington, District Of Columbia. Her current practice location is 5255 Loughboro Rd Nw, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 537-4122.

Audrey Nadine Grant is licensed to practice in District Of Columbia (license number PA47) 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 1073664199.

Contact Information

	Audrey Nadine Grant, PAC
	5255 Loughboro Rd Nw, Washington, DC 20016-2633
	(202) 537-4122
	Not Available

Provider's Profile

Full Name	Audrey Nadine Grant
Gender	Female
Speciality	Physician Assistant - Surgical
Location	5255 Loughboro Rd Nw, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073664199
Provider Enumeration Date: 01/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9638121353
Enrollment ID: I20050210000582

Medical Identifiers

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

Identifier	Type	State	Issuer
1073664199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA47 (District Of Columbia)	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. Audrey Nadine 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
Audrey Nadine Grant, PAC 1332 Ingraham St Nw, Washington, DC 20011-3604 Ph: () -	Audrey Nadine Grant, PAC 5255 Loughboro Rd Nw, Washington, DC 20016-2633 Ph: (202) 537-4122

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Audrey Nadine Grant, PAC - Medicare Physician Assistant in Washington, DC