Mr Frederic Grannis, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Duarte, California. Mr Frederic Grannis is licensed to practice in California (license number G36693) and his current practice location is 1500 E Duarte Rd, Duarte, California. He can be reached at his office (for appointments etc.) via phone at
(626) 359-8111.
NPI number for Mr Frederic Grannis is 1598773582 and his current mailing address is 1333 S. Mayflower Ave., 2nd Floor, Monrovia, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598773582.
Physician's Profile
| Full Name | Mr Frederic Grannis |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 1500 E Duarte Rd, Duarte, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598773582
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 08/11/2015
Medical Identifiers
Medical identifiers for Mr Frederic Grannis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598773582 | NPI | - | NPPES |
| 00G386930 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086X0206X | Surgery - Surgical Oncology | G36693 (California) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G36693 (California) | 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. Mr Frederic Grannis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Frederic Grannis, MD
1333 S. Mayflower Ave., 2nd Floor,
Monrovia, CA 91016-4066
Ph: (626) 775-3514 | Mr Frederic Grannis, MD
1500 E Duarte Rd,
Duarte, CA 91010
Ph: (626) 359-8111 |
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