Antonio M Granda, MD in Skowhegan, ME - Medicare Internal Medicine

Antonio M Granda, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Skowhegan, Maine. His current practice location is 46 Fairview Ave Ste 221, Skowhegan, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 474-6945.

Antonio M Granda is licensed to practice in Maine (license number MD23009) 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 1780624023.

Contact Information

	Antonio M Granda, MD
	46 Fairview Ave Ste 221, Skowhegan, ME 04976-1481
	(207) 474-6945
	(207) 474-6933

Map and Direction

Physician's Profile

Full Name	Antonio M Granda
Gender	Male
Speciality	Internal Medicine - Gastroenterology
Location	46 Fairview Ave Ste 221, Skowhegan, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780624023
Provider Enumeration Date: 06/07/2006
Last Update Date: 11/04/2021

Medicare PECOS Information:

PECOS PAC ID: 9739262346
Enrollment ID: I20100708000047

Medical Identifiers

Medical identifiers for Antonio M Granda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780624023	NPI	-	NPPES
3164315	Other	TN	BLUE CROSS OF TN
64746449	Medicaid	KY
104697	Other	TN	UNITED HEALTH CARE
378643	Other	TN	USA - MCO
Q006396	Medicaid	TN
10074063	Other	TN	AMERIGROUP TNCARE AND AMERIVANTAGE MCR ADVANTAGE
1416751	Other	TN	CIGNA
1507235	Medicaid	TN
1629728	Other	TN	COVENTRY/FIRST HEALTH
4066743	Other	TN	AETNA
1100315241	Other	TN	USA PPO/GEHA
12079645	Other	TN	MULTIPLAN/PHCS
100014907	Other	TN	MEDICARE RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	09565 (Tennessee)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	35.143494 (Ohio)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	9565 (Tennessee)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	MD23009 (Maine)	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. Antonio M Granda allows following entities to bill medicare on his behalf.

Entity Name	Sumner Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475

Entity Name	West Tennessee Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053615955 PECOS PAC ID: 3971781006 Enrollment ID: O20110621000009

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. Antonio M Granda 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
Antonio M Granda, MD Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 858-8353	Antonio M Granda, MD 46 Fairview Ave Ste 221, Skowhegan, ME 04976-1481 Ph: (207) 474-6945

Reviews and Comments

Internal Medicine Doctors in Skowhegan, ME

Oto Prokop, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave Ste 111, Skowhegan, ME 04976 Phone: 207-474-0905 Fax: 207-474-6930
Donna Conkling, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Suite 111, Skowhegan, ME 04976 Phone: 207-474-0905 Fax: 207-474-6930
Dr. Michael J Monzel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave Ste 221, Skowhegan, ME 04976 Phone: 207-474-6945 Fax: 207-474-6933
Dr. Paraschos Archontakis Barakakis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-858-2415
Daniel Stevenson Stadler, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976 Phone: 207-474-9686
Dr. Rajdeep Brar, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121
Dr. David N Abisalih, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 61 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-8121 Fax: 207-474-3648

Antonio M Granda, MD - Medicare Internal Medicine in Skowhegan, ME