Grant R Humphreys, OD - Medicare Optometrist in Anchorage, AK

Grant R Humphreys, OD is a medicare enrolled "Optometrist" provider in Anchorage, Alaska. His current practice location is 4341 Tudor Centre Dr, Suite 200, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 729-8500.

Grant R Humphreys is licensed to practice in Alaska (license number 144) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942350756.

Contact Information

Grant R Humphreys, OD
4341 Tudor Centre Dr, Suite 200,
Anchorage, AK 99508-5904
(907) 729-8500
Not Available



Healthcare Provider's Profile

Full NameGrant R Humphreys
GenderMale
SpecialityOptometrist
Location4341 Tudor Centre Dr, Anchorage, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942350756
  • Provider Enumeration Date: 01/12/2007
  • Last Update Date: 10/01/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4789587437
  • Enrollment ID: I20040129000849

Medical Identifiers

Medical identifiers for Grant R Humphreys such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942350756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 144 (Alaska)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. Grant R Humphreys allows following entities to bill medicare on his behalf.
Provider NameAlaska Native Tribal Health Consortium
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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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. Grant R Humphreys 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
Grant R Humphreys, OD
4341 Tudor Centre Dr, Suite 200,
Anchorage, AK 99508-5904

Ph: (907) 729-8500
Grant R Humphreys, OD
4341 Tudor Centre Dr, Suite 200,
Anchorage, AK 99508-5904

Ph: (907) 729-8500

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