Dr Gustavo Granada, MD in Kennett, MO - Medicare Internal Medicine

Dr Gustavo Granada, MD is a medicare enrolled "Internal Medicine" physician in Kennett, Missouri. His current practice location is 807 South Byp, Kennett, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 717-1332.

Dr Gustavo Granada is licensed to practice in Missouri (license number 2001023407) 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 1881605137.

Contact Information

	Dr Gustavo Granada, MD
	807 South Byp, Kennett, MO 63857-3244
	(573) 717-1332
	(573) 717-1335

Map and Direction

Physician's Profile

Full Name	Dr Gustavo Granada
Gender	Male
Speciality	Internal Medicine
Location	807 South Byp, Kennett, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881605137
Provider Enumeration Date: 08/11/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 4183670276
Enrollment ID: I20081212000523

Medical Identifiers

Medical identifiers for Dr Gustavo Granada such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881605137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	2001023407 (Missouri)	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 Gustavo Granada allows following entities to bill medicare on his behalf.

Entity Name	Paragon Contracting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148

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 Gustavo Granada 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 Gustavo Granada, MD Po Box 400, New Madrid, MO 63869-0400 Ph: (573) 748-2404	Dr Gustavo Granada, MD 807 South Byp, Kennett, MO 63857-3244 Ph: (573) 717-1332

Reviews and Comments

Internal Medicine Doctors in Kennett, MO

Dr. Dave K Jain, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Floyd St, Kennett, MO 63857 Phone: 573-888-4226 Fax: 573-888-4221
Wuthisak Soonattrakul, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 E Washington St, Kennett, MO 63857 Phone: 573-888-1137 Fax: 573-888-0920
Dr. Lanny W Geary, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Jill St, Kennett, MO 63857 Phone: 573-888-1863
Mrs. Jackie Jean Sutherland, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 603 Teaco Road, Kennett, MO 63857 Phone: 573-717-7676 Fax: 573-717-7877

Dr Gustavo Granada, MD - Medicare Internal Medicine in Kennett, MO