Fani Gruber, PA in Albany, NY - Medicare Physician Assistant

Fani Gruber, PA is a medicare enrolled "Physician Assistant - Medical" in Albany, New York. Her current practice location is 600 Northern Blvd, Albany, New York. You can reach out to her office (for appointments etc.) via phone at (518) 471-3221.

Fani Gruber is licensed to practice in New York (license number 23 019861) 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 1013360049.

Contact Information

	Fani Gruber, PA
	600 Northern Blvd, Albany, NY 12204-1004
	(518) 471-3221
	Not Available

Provider's Profile

Full Name	Fani Gruber
Gender	Female
Speciality	Physician Assistant - Medical
Location	600 Northern Blvd, Albany, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013360049
Provider Enumeration Date: 07/14/2016
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 2062709132
Enrollment ID: I20160919000613

Medical Identifiers

Medical identifiers for Fani Gruber such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013360049	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	23 019861 (New York)	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. Fani Gruber 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
Fani Gruber, PA 600 Northern Blvd, Albany, NY 12204-1004 Ph: (518) 471-3221	Fani Gruber, PA 600 Northern Blvd, Albany, NY 12204-1004 Ph: (518) 471-3221

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Fani Gruber, PA - Medicare Physician Assistant in Albany, NY