Mark Jason Granada, AGNP - Medicare Nurse Practitioner in Merced, CA

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Mark Jason Granada, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Merced, California. His current practice location is 857 W Childs Ave, Merced, California. You can reach out to his office (for appointments etc.) via phone at (209) 722-4842.

Mark Jason Granada is licensed to practice in California (license number 95024681) 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 1386353761.

Contact Information

Mark Jason Granada, AGNP
857 W Childs Ave,
Merced, CA 95341-6862
(209) 722-4842
Not Available

Map and Direction




Provider's Profile

Full NameMark Jason Granada
GenderMale
SpecialityNurse Practitioner - Gerontology
Location857 W Childs Ave, Merced, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386353761
  • Provider Enumeration Date: 11/15/2022
  • Last Update Date: 07/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749648939
  • Enrollment ID: I20230620003230

Medical Identifiers

Medical identifiers for Mark Jason Granada such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386353761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95024681 (California)Secondary
363LG0600XNurse Practitioner - Gerontology 95024681 (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. Mark Jason Granada allows following entities to bill medicare on his behalf.
Entity NameGolden Valley Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356445753
PECOS PAC ID: 4183527187
Enrollment ID: O20040128000641

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. Mark Jason Granada 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 AddressPractice Location Address
Mark Jason Granada, AGNP
1910 Customer Care Way,
Atwater, CA 95301-5167

Ph: (209) 722-4842		Mark Jason Granada, AGNP
857 W Childs Ave,
Merced, CA 95341-6862

Ph: (209) 722-4842

Reviews and Comments


Nurse Practitioner Nurses in Merced, CA

Mrs. Rubirosa Cervantes Arandia,
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Practice Location: 3389 G St, Merced, CA 95340
Phone: 209-384-9401    
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Mary Alice Hintenach, FNP
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Medicare: Medicare Enrolled
Practice Location: 315 E 13th St, Merced, CA 95340
Phone: 209-385-7060    Fax: 209-385-7017
Mrs. Amanda Eliza Gibson, FNP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 315 E 13th St, Merced, CA 95341
Phone: 209-564-4500    
Ms. Gina Leisha Broussard, FNP
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Medicare: Medicare Enrolled
Practice Location: 3349 G St Ste F, Merced, CA 95340
Phone: 209-349-8459    Fax: 209-580-4671
Deirdre Alice Mazzetto, NP, AGACNP-BC
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Medicare: Medicare Enrolled
Practice Location: 220 E 13th St, Merced, CA 95341
Phone: 209-723-2122    
Miss Rashilda Ayanna Storm, MSN, AGPCNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 857 W Childs Ave, Geriatrics, Merced, CA 95341
Phone: 209-385-5600    Fax: 209-385-5674

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.