Clyde Grady, is a medicare enrolled "Family Medicine" physician in Knoxville, Illinois. His current practice location is
104 S Broad St, Knoxville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 289-2335.
Clyde Grady is licensed to practice in Illinois (license number ) 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 1851484075.
Physician's Profile
Full Name | Clyde Grady |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 104 S Broad St, Knoxville, Illinois |
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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:
- Clyde Grady attended and graduated from in
NPI Data:
- NPI Number: 1851484075
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Clyde Grady such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851484075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | (Illinois) | 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. Clyde Grady 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 |
Clyde Grady, 104 S Broad St, Knoxville, IL 61448-1339 Ph: (309) 289-2335 | Clyde Grady, 104 S Broad St, Knoxville, IL 61448-1339 Ph: (309) 289-2335 |
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