Jamie Lagrandeur, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Tucson, Arizona. Her current practice location is
5301 E Grant Rd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 324-5095.
Jamie Lagrandeur is licensed to practice in Washington (license number MDRE.ML.61167205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134743230.
Physician's Profile
Full Name | Jamie Lagrandeur |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5301 E Grant Rd, Tucson, Arizona |
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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: 1134743230
- Provider Enumeration Date: 06/04/2020
- Last Update Date: 05/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 9739588575
- Enrollment ID: I20210527000018
Medical Identifiers
Medical identifiers for Jamie Lagrandeur such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134743230 | NPI | - | NPPES |
R78137 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | R78137 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MDRE.ML.61167205 (Washington) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jamie Lagrandeur 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 |
Jamie Lagrandeur, 925 Seneca St, Seattle, WA 98101-2742 Ph: (520) 324-5095 | Jamie Lagrandeur, 5301 E Grant Rd, Tucson, AZ 85712-2805 Ph: (520) 324-5095 |
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