Dr Grace Crittenden, MD - Medicare Internal Medicine in San Luis Obispo, CA

Dr Grace Crittenden, MD is a medicare enrolled "Internal Medicine" physician in San Luis Obispo, California. She went to University Of Hawaii John A. Burns School Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Wilshire Connected Care and her current practice location is 1250 Peach St Ste B, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 543-4043.

Dr Grace Crittenden is licensed to practice in California (license number G65487) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053343764.

Contact Information

Dr Grace Crittenden, MD
1250 Peach St Ste B,
San Luis Obispo, CA 93401
(805) 543-4043
Not Available



Physician's Profile

Full NameDr Grace Crittenden
GenderFemale
SpecialityInternal Medicine
Experience52 Years
Location1250 Peach St Ste B, San Luis Obispo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Grace Crittenden attended and graduated from University Of Hawaii John A. Burns School Of Medicine in 1972
  NPI Data:
  • NPI Number: 1053343764
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 05/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0143355636
  • Enrollment ID: I20100323000568

Medical Identifiers

Medical identifiers for Dr Grace Crittenden such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053343764NPI-NPPES
CB234888OtherCAMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G65487 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wilshire Connected Care58900385588

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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 Grace Crittenden allows following entities to bill medicare on her behalf.
Entity NameWilshire Connected Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104392885
PECOS PAC ID: 5890038558
Enrollment ID: O20190521000171

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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 Grace Crittenden 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
Dr Grace Crittenden, MD
1400 E. Church Street, Attention: Medical Staff Office,
Santa Maria, CA 93454

Ph: (805) 739-3954
Dr Grace Crittenden, MD
1250 Peach St Ste B,
San Luis Obispo, CA 93401

Ph: (805) 543-4043

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Internal Medicine Doctors in San Luis Obispo, CA

Rabab Hajar, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405
Phone: 805-541-1422    Fax: 805-595-1815
Justin N Grammy, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401
Phone: 805-543-4407    Fax: 805-543-4587
Pravir R Vatsa, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1023 Nipomo St # 110, San Luis Obispo, CA 93401
Phone: 805-439-2998    Fax: 805-439-2997
Philippe Duhaime, M.D
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: Sierra Vista Regional Medical Center, 1010 Murray Ave,, San Luis Obispo, CA 93405
Phone: 805-546-7000    
Christopher Vaughn Holland, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Bishop St Ste 250, San Luis Obispo, CA 93401
Phone: 805-540-0689    Fax: 805-541-4376
Dr. Deborah A. Cherry, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4251 S Higuera St Ste 701, San Luis Obispo, CA 93401
Phone: 805-439-1381    Fax: 805-439-0138

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