Dr Stas Grandi, DMD, MSD in Sonora, CA - Medicare Dentist Provider

Dr Stas Grandi, DMD, MSD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Sonora, California. His current practice location is 800 Morning Star Dr Ste A, Sonora, California. You can reach out to his office (for appointments etc.) via phone at (209) 532-5788.

Dr Stas Grandi is licensed to practice in Colorado (license number DEN.00203854) 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 1548547425.

Contact Information

	Dr Stas Grandi, DMD, MSD
	800 Morning Star Dr Ste A, Sonora, CA 95370-9260
	(209) 532-5788
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stas Grandi
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	800 Morning Star Dr Ste A, Sonora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548547425
Provider Enumeration Date: 11/07/2011
Last Update Date: 12/06/2023

Medicare PECOS Information:

PECOS PAC ID: 4183096043
Enrollment ID: I20230202002608

Medical Identifiers

Medical identifiers for Dr Stas Grandi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548547425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0401413384 (Virginia)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	DEN.00203854 (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. Dr Stas Grandi allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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. Dr Stas Grandi 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
Dr Stas Grandi, DMD, MSD 800 Morning Star Dr Ste A, Sonora, CA 95370-9260 Ph: () -	Dr Stas Grandi, DMD, MSD 800 Morning Star Dr Ste A, Sonora, CA 95370-9260 Ph: (209) 532-5788

Reviews and Comments

Dentist in Sonora, CA

Wayne Alan Mathe, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Sonora, CA 95370 Phone: 209-533-7213
Dr. Scott Carl Henning, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14570 Mono Way, Suite I, Sonora, CA 95370 Phone: 209-536-1954 Fax: 209-536-6554
Paul J Berger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13919 Mono Way, Sonora, CA 95370 Phone: 209-533-9630 Fax: 209-536-6044
Patricia Rivas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste I, Sonora, CA 95370 Phone: 209-533-9603 Fax: 209-533-9604
Dr. Robyn Alison Ritchie, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 193 Fairview Ln Ste J, Sonora, CA 95370 Phone: 209-754-3816
Dr. David E. Woodhams, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13945 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-0808 Fax: 209-532-1331
Dr. Justin Liggett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 765 Morning Star Dr, Sonora, CA 95370 Phone: 209-532-7418 Fax: 209-533-3515

Dr Stas Grandi, DMD, MSD - Medicare Dentist in Sonora, CA