Carly Cook Granata, PA-C - Medicare Physician Assistant in Mitchellville, MD

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Carly Cook Granata, PA-C is a medicare enrolled "Physician Assistant" in Mitchellville, Maryland. Her current practice location is 10236 Lake Arbor Way, Mitchellville, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 436-2840.

Carly Cook Granata is licensed to practice in Virginia (license number 0110007055) 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 1396219408.

Contact Information

Carly Cook Granata, PA-C
10236 Lake Arbor Way,
Mitchellville, MD 20721-3113
(240) 436-2840
Not Available

Map and Direction




Provider's Profile

Full NameCarly Cook Granata
GenderFemale
SpecialityPhysician Assistant
Location10236 Lake Arbor Way, Mitchellville, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396219408
  • Provider Enumeration Date: 01/11/2019
  • Last Update Date: 06/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830528058
  • Enrollment ID: I20221004001767

Medical Identifiers

Medical identifiers for Carly Cook Granata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396219408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C0008389 (Maryland)Secondary
363A00000XPhysician Assistant 0110007055 (Virginia)Primary

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. Carly Cook Granata 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 AddressPractice Location Address
Carly Cook Granata, PA-C
10236 Lake Arbor Way,
Mitchellville, MD 20721-3113

Ph: (404) 362-8402		Carly Cook Granata, PA-C
10236 Lake Arbor Way,
Mitchellville, MD 20721-3113

Ph: (240) 436-2840

Reviews and Comments


Physician Assistant Nurses in Mitchellville, MD

Mrs. Linda Bennett Solomon, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10274 Lake Arbor Way Suite 202, Mitchellville, MD 20721
Phone: 301-336-9065    Fax: 301-336-6909

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.