John Willard Grace Iii
JOHN W GRACE MD PA


Address: 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Phone: 3527952246

John Willard Grace Iii (NPI# 1497725006, PAC ID# 6103803499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1497725006
PAC ID by PECOS 6103803499
Professional Enrollment ID I20040709001014
Full Name John Willard Grace Iii
Organization Legal Name JOHN W GRACE MD PA
Address 6226 W Corporate Oaks Dr
Crystal River
FL 34429-8723
Phone Number 3527952246
Gender M
Credential MD
Medical School SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty PSYCHIATRY
Group Practice PAC ID 3779560065
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100023 CITRUS MEMORIAL HOSPITAL
100249 SEVEN RIVERS REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723 3527952246 JOHN W GRACE MD PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name JOHN W GRACE MD PA
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Joseph Alfred Bousquet Psychologist, Clinical John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Hunter Brooks Cooper Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Karen Champagne Lister Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Jacinda Lynn Laundree Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Lauren Michelle Starnes Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Adam M Hutton Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Heidi Benet-magyar Nurse Practitioner John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Trevor Shaver Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723

Office Location

Street Address 6226 W CORPORATE OAKS DR
City CRYSTAL RIVER
State FL
Zip 34429-8723

Physicians in the same location

Name Specialty Organization Address
Joseph Alfred Bousquet Psychologist, Clinical John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Hunter Brooks Cooper Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Karen Champagne Lister Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Jacinda Lynn Laundree Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Lauren Michelle Starnes Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Adam M Hutton Clinical Social Worker John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Heidi Benet-magyar Nurse Practitioner John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723
Trevor Shaver Physician Assistant John W Grace Md Pa 6226 W Corporate Oaks Dr, Crystal River, FL 34429-8723

Physicians in the same zip code

Name Specialty Organization Address
Ellen Heubach Nurse Practitioner Quick Care Med, LLC 659 Unit Us Hwy 19 1, Crystal River, FL 34429
Donna Jean Scarbrough Nurse Practitioner Quick Care Med, LLC 659 Unit Us Hwy 19 1, Crystal River, FL 34429
Jered Jones Nurse Practitioner Quick Care Med, LLC 659 Unit Us Hwy 19 1, Crystal River, FL 34429
Coty J Tino Family Medicine Meadowcrest Family Physicians, P.a. 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679
Jimmy C Dickert Internal Medicine Meadowcrest Family Physicians, P.a. 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679
Robbie Lee Bradley Physician Assistant Meadowcrest Family Physicians, P.a. 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679
Ryan Spencer Dickert Family Medicine Meadowcrest Family Physicians, P.a. 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679
Jeri L Anderson Nurse Practitioner Meadowcrest Family Physicians, P.a. 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679
Alex Jonathan Dickert Family Medicine Meadowcrest Family Physicians, P.a. 6199 W Gulf To Lake Hwy, Crystal River, FL 34429-2679
Jennifer Yoho Physician Assistant Meadowcrest Family Physicians, P.a. 1250 N Vantage Pt Dr, Crystal River, FL 34429-2679
Find all physicians in zip 34429

Competitor

Search similar physicians

City CRYSTAL RIVER
Zip Code 34429
Specialty PSYCHIATRY
City + Specialty CRYSTAL RIVER + PSYCHIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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