LYNETTE R GRANDISON MD - NPI 1821048240

Q: What is Lynette Grandison's NPI number?

The NPI number for Lynette Grandison is 1821048240. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Lynette Grandison's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lynette Grandison was last updated on June 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lynette R Grandison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYNETTE R GRANDISON MD (NPI 1821048240) is an individual pediatrics provider in Ceres, California, licensed in California (G77970) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821048240

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameLYNETTE R GRANDISONCredential: MD

Location Address2516 E WHITMORE AVECeres, CA 95307-2645

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211

Phone(209) 538-1733

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateJune 17, 2010

✔ NPI 1821048240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G77970

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2516 E WHITMORE AVE, Ceres, CA 95307

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Other Identifiers 3

Medicaid00G779700CA

Medicare UPING84491CA

Medicare PIN00G779700CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynette R Grandison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAT MAY PAMANIAN LIMPIADO MD

Family Medicine