Michelle Grace Granstrom Macdavid, MD in El Dorado Hills, CA

Michelle Grace Granstrom Macdavid, MD is a medicare enrolled "Pediatrics" physician in El Dorado Hills, California. Her current practice location is 1264 Hawks Flight Ct Ste 100, El Dorado Hills, California. You can reach out to her office (for appointments etc.) via phone at (916) 933-4222.

Michelle Grace Granstrom Macdavid is licensed to practice in California (license number A195577) 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 1790212751.

Contact Information

	Michelle Grace Granstrom Macdavid, MD
	1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762-9354
	(916) 933-4222
	(916) 933-5574

Map and Direction

Physician's Profile

Full Name	Michelle Grace Granstrom Macdavid
Gender	Female
Speciality	Pediatrics
Location	1264 Hawks Flight Ct Ste 100, El Dorado Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790212751
Provider Enumeration Date: 05/21/2017
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1557632510
Enrollment ID: I20240926003934

Medical Identifiers

Medical identifiers for Michelle Grace Granstrom Macdavid such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790212751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A195577 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michelle Grace Granstrom Macdavid allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Michelle Grace Granstrom Macdavid 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
Michelle Grace Granstrom Macdavid, MD 3400 Data Dr, Rancho Cordova, CA 95670-7956 Ph: () -	Michelle Grace Granstrom Macdavid, MD 1264 Hawks Flight Ct Ste 100, El Dorado Hills, CA 95762-9354 Ph: (916) 933-4222

Reviews and Comments

Pediatrics Doctors in El Dorado Hills, CA

Pirasteh Guity Shafe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5001 Gresham Dr, El Dorado Hills, CA 95762 Phone: 916-939-4248
Dr. Katie Jane Long, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762 Phone: 916-933-8010
Nicole M Shorrock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5137 Golden Foothill Pkwy, Suite 120, El Dorado Hills, CA 95762 Phone: 916-933-8010
Dr. Rakhal Muralimohan Reddy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3206 Bordeaux Dr, El Dorado Hills, CA 95762 Phone: 773-727-3590

Michelle Grace Granstrom Macdavid, MD - Medicare Pediatrics in El Dorado Hills, CA