Mr Granwel Genio Esteban Jr, PA in Athens, TN - Medicare Physician Assistant

Mr Granwel Genio Esteban Jr, PA is a medicare enrolled "Physician Assistant" in Athens, Tennessee. He went to Wake Forest University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Faxton-st Lukes Healthcare and his current practice location is 1114 W Madison Ave, Athens, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 745-1411.

Mr Granwel Genio Esteban Jr is licensed to practice in Tennessee (license number PA1004) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336195973.

Contact Information

	Mr Granwel Genio Esteban Jr, PA
	1114 W Madison Ave, Athens, TN 37303-4150
	(423) 745-1411
	(865) 539-8008

Map and Direction

Provider's Profile

Full Name	Mr Granwel Genio Esteban Jr
Gender	Male
Speciality	Physician Assistant
Experience	22 Years
Location	1114 W Madison Ave, Athens, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Granwel Genio Esteban Jr attended and graduated from Wake Forest University School Of Medicine in 2002

NPI Data:

NPI Number: 1336195973
Provider Enumeration Date: 05/25/2006
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4789598160
Enrollment ID: I20210802001507

Medical Identifiers

Medical identifiers for Mr Granwel Genio Esteban Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336195973	NPI	-	NPPES
009941923	Medicaid	AL
587885291A	Medicaid	GA
4061134	Other	TN	BLUE CROSS
891012540	Medicaid	AL
P00001071	Other	TN	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	02673-01 (New York)	Secondary
363A00000X	Physician Assistant	PA1004 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Faxton-st Luke's Healthcare	Utica, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faxton-st Lukes Healthcare	2769380252	291

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. Mr Granwel Genio Esteban Jr 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
Mr Granwel Genio Esteban Jr, PA Po Box 634760, Cincinnati, OH 45263-0001 Ph: () -	Mr Granwel Genio Esteban Jr, PA 1114 W Madison Ave, Athens, TN 37303-4150 Ph: (423) 745-1411

Reviews and Comments

Physician Assistant Nurses in Athens, TN

Anthony Sopczak, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 Decatur Pike, Athens, TN 37303 Phone: 423-746-1412 Fax: 423-745-6413
Joshua Steven Mcgrew, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 214 E Madison Ave, Athens, TN 37303 Phone: 423-405-1990
Kimberly S Borris, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1031 W Madison Ave, Athens, TN 37303 Phone: 423-745-6575
Mr. Ryan G. Mcnabb, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411 Fax: 865-539-8008
Brandon Wells Watson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1114 W Madison Ave, Athens, TN 37303 Phone: 423-745-1411
Mr. Robert Kevin Chin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 711 Cook Dr Ste 100, Athens, TN 37303 Phone: 423-744-7585 Fax: 423-746-4993

Mr Granwel Genio Esteban Jr, PA - Medicare Physician Assistant in Athens, TN