Grady Louis Garner Ii, MD is a medicare enrolled "Anesthesiology" physician in Country Club Hills, Illinois. His current practice location is
17936 Poplar Ln, Country Club Hills, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 647-1612.
Grady Louis Garner Ii is licensed to practice in California (license number A87869) 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 1457405045.
Physician's Profile
| Full Name | Grady Louis Garner Ii |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 17936 Poplar Ln, Country Club Hills, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457405045
- Provider Enumeration Date: 01/22/2007
- Last Update Date: 07/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 9335194745
- Enrollment ID: I20101030000172
Medical Identifiers
Medical identifiers for Grady Louis Garner Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457405045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | A87869 (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. Grady Louis Garner Ii allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Associates, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
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| Entity Name | Valley Pain Care Centers, Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
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| Entity Name | Northstar Anesthesia Of Illinois, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
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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. Grady Louis Garner Ii 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 |
Grady Louis Garner Ii, MD 10470 Old Placerville Rd, Suite 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Grady Louis Garner Ii, MD 17936 Poplar Ln, Country Club Hills, IL 60478-2931 Ph: (708) 647-1612 |
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