Dr Grace Crittenden, MD in San Luis Obispo, CA

Dr Grace Crittenden, MD is a medicare enrolled "Internal Medicine" physician in San Luis Obispo, California. Her current practice location is 1250 Peach St Ste B, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 543-4043.

Dr Grace Crittenden is licensed to practice in California (license number G65487) 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 1053343764.

Contact Information

	Dr Grace Crittenden, MD
	1250 Peach St Ste B, San Luis Obispo, CA 93401
	(805) 543-4043
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Grace Crittenden
Gender	Female
Speciality	Internal Medicine
Location	1250 Peach St Ste B, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053343764
Provider Enumeration Date: 07/06/2006
Last Update Date: 05/14/2019

Medicare PECOS Information:

PECOS PAC ID: 0143355636
Enrollment ID: I20100323000568

Medical Identifiers

Medical identifiers for Dr Grace Crittenden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053343764	NPI	-	NPPES
CB234888	Other	CA	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G65487 (California)	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 Grace Crittenden allows following entities to bill medicare on her behalf.

Entity Name	Wilshire Connected Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104392885 PECOS PAC ID: 5890038558 Enrollment ID: O20190521000171

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 Grace Crittenden 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 Grace Crittenden, MD 1400 E. Church Street, Attention: Medical Staff Office, Santa Maria, CA 93454 Ph: (805) 739-3954	Dr Grace Crittenden, MD 1250 Peach St Ste B, San Luis Obispo, CA 93401 Ph: (805) 543-4043

Reviews and Comments

Internal Medicine Doctors in San Luis Obispo, CA

Rabab Hajar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405 Phone: 805-541-1422 Fax: 805-595-1815
Justin N Grammy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401 Phone: 805-543-4407 Fax: 805-543-4587
Pravir R Vatsa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401 Phone: 805-439-2998 Fax: 805-439-2997
Philippe Duhaime, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405 Phone: 805-546-7000
Christopher Vaughn Holland, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401 Phone: 805-540-0689 Fax: 805-541-4376
Dr. Deborah A. Cherry, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401 Phone: 805-439-1381 Fax: 805-439-0138

Dr Grace Crittenden, MD - Medicare Internal Medicine in San Luis Obispo, CA