Lynette R Grandison, MD in Ceres, CA

Lynette R Grandison, MD is a medicare enrolled "Pediatrics" physician in Ceres, California. Her current practice location is 2516 E Whitmore Ave, Ceres, California. You can reach out to her office (for appointments etc.) via phone at (209) 538-1733.

Lynette R Grandison is licensed to practice in California (license number G77970) 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 1821048240.

Contact Information

	Lynette R Grandison, MD
	2516 E Whitmore Ave, Ceres, CA 95307-2645
	(209) 538-1733
	Not Available

Map and Direction

Physician's Profile

Full Name	Lynette R Grandison
Gender	Female
Speciality	Pediatrics
Location	2516 E Whitmore Ave, Ceres, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821048240
Provider Enumeration Date: 05/10/2006
Last Update Date: 06/17/2010

Medicare PECOS Information:

PECOS PAC ID: 3476778689
Enrollment ID: I20140702000272

Medical Identifiers

Medical identifiers for Lynette R Grandison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821048240	NPI	-	NPPES
00G779700	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G77970 (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. Lynette R Grandison allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Lynette R Grandison 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
Lynette R Grandison, MD 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211	Lynette R Grandison, MD 2516 E Whitmore Ave, Ceres, CA 95307-2645 Ph: (209) 538-1733

Reviews and Comments

Pediatrics Doctors in Ceres, CA

Felix A. Conte, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-538-1096 Fax: 209-538-1099
Kenneth James, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-541-3000
Dr. Ayotunde Kofoworola Ayodele, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1920 Memorial Dr, Ceres, CA 95307 Phone: 209-383-7441

Lynette R Grandison, MD - Medicare Pediatrics in Ceres, CA