Richard Ian Gracer, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in San Ramon, California. His current practice location is
5401 Norris Canyon Rd, Suite 102, San Ramon, California. You can reach out to his office (for appointments etc.) via phone at
(925) 277-1100.
Richard Ian Gracer is licensed to practice in California (license number G35367) 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 1972676930.
Physician's Profile
| Full Name | Richard Ian Gracer |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 5401 Norris Canyon Rd, San Ramon, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972676930
- Provider Enumeration Date: 11/16/2006
- Last Update Date: 09/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 7113964081
- Enrollment ID: I20100824000380
Medical Identifiers
Medical identifiers for Richard Ian Gracer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972676930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207QA0401X | Family Medicine - Addiction Medicine | G35367 (California) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | G35367 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G35367 (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. Richard Ian Gracer allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Pain Management Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922198779
PECOS PAC ID: 0547252918
Enrollment ID: O20040402001211 |
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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. Richard Ian Gracer 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 |
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Richard Ian Gracer, MD
5401 Norris Canyon Rd, Suite 102,
San Ramon, CA 94583-5406
Ph: (925) 277-1100 | Richard Ian Gracer, MD
5401 Norris Canyon Rd, Suite 102,
San Ramon, CA 94583-5406
Ph: (925) 277-1100 |
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