Andrew Michael Granello, | |
161 N Causeway Ste A, New Smyrna Beach, FL 32169-5328 | |
(386) 424-1584 | |
Not Available |
Full Name | Andrew Michael Granello |
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Gender | Male |
Speciality | Family Medicine |
Location | 161 N Causeway Ste A, New Smyrna Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679327944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | APRN11031962 (Florida) | Primary |
Entity Name | Volusia Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629279138 PECOS PAC ID: 0840370375 Enrollment ID: O20080109000416 |
Mailing Address | Practice Location Address |
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Andrew Michael Granello, 3928 Willowbrook Dr, Edgewater, FL 32141-5865 Ph: (772) 359-3853 | Andrew Michael Granello, 161 N Causeway Ste A, New Smyrna Beach, FL 32169-5328 Ph: (386) 424-1584 |
Michelle Suzanne Hedderich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168 Phone: 386-424-5000 | |
Dr. Andrew B Dill, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 125 Florida Memorial Pkwy Ste 2200, New Smyrna Beach, FL 32168 Phone: 386-409-6839 | |
Satwinder Kaur Bindra, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 161 N Causeway Ste A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 | |
Dr. Dina Doolin, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 233 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-957-9850 Fax: 386-410-3731 | |
Dr. Sunny Robertson Tomlinson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Florida Memorial Pkwy Ste 2500a, New Smyrna Beach, FL 32168 Phone: 386-409-6857 Fax: 386-409-6912 | |
Dr. Mark Allen Kucker, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 161 N Causeway Ste D, New Smyrna Beach, FL 32169 Phone: 386-428-6660 Fax: 386-428-6696 | |
Dae Sung Choi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 245 North Causeway, New Smyrna Beach, FL 32169 Phone: 386-426-5800 Fax: 386-426-1416 |