Dr Graciany Miranda Grajales, MD is a medicare enrolled "General Practice" physician in Lecanto, Florida. His current practice location is
2804 W Marc Knighton Ct, Suite A, Lecanto, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 746-8000.
Dr Graciany Miranda Grajales is licensed to practice in Puerto Rico (license number 15543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174514319.
Physician's Profile
Full Name | Dr Graciany Miranda Grajales |
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Gender | Male |
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Speciality | General Practice |
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Location | 2804 W Marc Knighton Ct, Lecanto, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174514319
- Provider Enumeration Date: 11/04/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254374846
- Enrollment ID: I20170623001027
Medical Identifiers
Medical identifiers for Dr Graciany Miranda Grajales such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174514319 | NPI | - | NPPES |
7310343 | Medicaid | PR | |
778245 | Other | PR | HUMANA GOLD HMO |
DM154559 | Other | PR | ASSMCA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 15543 (Puerto Rico) | 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. Dr Graciany Miranda Grajales 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 |
Dr Graciany Miranda Grajales, MD 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-9019 Ph: (352) 746-8000 | Dr Graciany Miranda Grajales, MD 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-9019 Ph: (352) 746-8000 |
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