Dr Enrique Ignacio Gracian, PHD in Los Angeles, CA

Dr Enrique Ignacio Gracian, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. His current practice location is 1127 Wilshire Blvd Ste 1218, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 712-9595.

Dr Enrique Ignacio Gracian is licensed to practice in California (license number 33183) 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 1427706241.

Contact Information

	Dr Enrique Ignacio Gracian, PHD
	1127 Wilshire Blvd Ste 1218, Los Angeles, CA 90017-4003
	(213) 712-9595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Enrique Ignacio Gracian
Gender	Male
Speciality	Psychologist - Clinical
Location	1127 Wilshire Blvd Ste 1218, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427706241
Provider Enumeration Date: 03/10/2022
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 5698116622
Enrollment ID: I20240508002798

Medical Identifiers

Medical identifiers for Dr Enrique Ignacio Gracian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427706241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	33183 (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. Dr Enrique Ignacio Gracian allows following entities to bill medicare on his behalf.

Entity Name	Executive Mental Health, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275670036 PECOS PAC ID: 0345209102 Enrollment ID: O20160512000302

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. Dr Enrique Ignacio Gracian 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
Dr Enrique Ignacio Gracian, PHD 1127 Wilshire Blvd Ste 1218, Los Angeles, CA 90017-4003 Ph: (213) 712-9595	Dr Enrique Ignacio Gracian, PHD 1127 Wilshire Blvd Ste 1218, Los Angeles, CA 90017-4003 Ph: (213) 712-9595

Reviews and Comments

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Dr Enrique Ignacio Gracian, PHD - Medicare Psychologist in Los Angeles, CA