Grady Walker Jaramillo, is a
Case Manager/care Coordinator based in Santa Fe, New Mexico. Grady Walker Jaramillo is licensed to practice in New Mexico (license number CTB-2023-0448) and his current practice location is
2504 Camino Entrada, Santa Fe, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(575) 758-7263.
NPI number for Grady Walker Jaramillo is 1013677665 and his current mailing address is Po Box 28164, Santa Fe, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013677665.
Healthcare Provider's Profile
| Full Name | Grady Walker Jaramillo |
|---|
| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 2504 Camino Entrada, Santa Fe, New Mexico |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013677665
- Provider Enumeration Date: 12/22/2021
- Last Update Date: 01/09/2025
Medical Identifiers
Medical identifiers for Grady Walker Jaramillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013677665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CTB-2023-0448 (New Mexico) | 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. Grady Walker Jaramillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grady Walker Jaramillo,
Po Box 28164,
Santa Fe, NM 87592-8164
Ph: () - | Grady Walker Jaramillo,
2504 Camino Entrada,
Santa Fe, NM 87507-4851
Ph: (575) 758-7263 |
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