Grace Caroline Hannigan, is a
Military Health Care Provider physician based in San Diego, California. Grace Caroline Hannigan is licensed to practice in * (Not Available) (license number ) and her current practice location is 34800 Bob Wilson Dr, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 532-6400.
NPI number for Grace Caroline Hannigan is 1255195657 and her current mailing address is 34800 Bob Wilson Dr, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255195657.
Physician's Profile
| Full Name | Grace Caroline Hannigan |
|---|
| Gender | Female |
|---|
| Speciality | Military Health Care Provider |
|---|
| Location | 34800 Bob Wilson Dr, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255195657
- Provider Enumeration Date: 02/07/2024
- Last Update Date: 09/19/2025
Medical Identifiers
Medical identifiers for Grace Caroline Hannigan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255195657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0102209456 (Virginia) | Secondary |
| 171000000X | Military Health Care Provider | (* (Not Available)) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Grace Caroline Hannigan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grace Caroline Hannigan,
34800 Bob Wilson Dr,
San Diego, CA 92134-1098
Ph: (978) 460-1323 | Grace Caroline Hannigan,
34800 Bob Wilson Dr,
San Diego, CA 92134-1098
Ph: (619) 532-6400 |
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