Gustavo Grana, MD | |
1400 N Us Highway 441 Ste 930, The Villages, FL 32159-6812 | |
(352) 750-2108 | |
(352) 750-1836 |
Full Name | Gustavo Grana |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 1400 N Us Highway 441 Ste 930, The Villages, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710959747 | NPI | - | NPPES |
251888100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | ME63891 (Florida) | Secondary |
207Q00000X | Family Medicine | ME63891 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeland Regional Medical Center | Lakeland, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeland Regional Health Systems Inc | 8325952914 | 360 |
Entity Name | Lakeland Regional Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
Mailing Address | Practice Location Address |
---|---|
Gustavo Grana, MD Po Box 616788, Orlando, FL 32861-6788 Ph: (407) 533-6835 | Gustavo Grana, MD 1400 N Us Highway 441 Ste 930, The Villages, FL 32159-6812 Ph: (352) 750-2108 |
Dr. Brooke E Alexander, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: -- | |
Melchor Madarang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 | |
Dr. Kelly L Deboer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2910 Brownwood Blvd, The Villages, FL 32163 Phone: 352-674-1790 Fax: 352-674-8990 | |
Uyen Anh Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Farner Pl, The Villages, FL 32163 Phone: 352-674-8905 Fax: 352-674-8919 | |
Ashley Lynn Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Camp Rd, The Villages, FL 32162 Phone: 352-674-1760 Fax: 352-674-8960 | |
Dr. Kimberly W Giovannelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-674-1740 Fax: 352-674-8940 | |
Anthony John Desmarais Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2771 Brownwood Blvd, The Villages, FL 32163 Phone: 352-750-8220 |