Grace Castillo Andrade, PA-C – Physician Assistant

Key facts

NPI: 1285153221
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
Practice address: 403 Pittsburg Ave
Odessa, TX 79761-5224
Phone: (432) 332-3400
Fax: (432) 332-6500
NPI assigned: Sep 11, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Suresh Prasad MD PA Internal Medicine Physician · Odessa, TX · NPI 1114012283

Medicare reassignment Care Compare group TX

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Ector County Hospital District Federally Qualified Health Center (FQHC) · Odessa, TX · NPI 1578265302

Care Compare affiliation Hospital
Ector County Hospital District General Acute Care Hospital · Odessa, TX · NPI 1740273994

Care Compare affiliation Hospital
Midland County Hospital District General Acute Care Hospital · Midland, TX · NPI 1255325817

Care Compare affiliation Hospital
Odessa Texas Hospital Company LLC General Acute Care Hospital · Odessa, TX · NPI 1306673009

Care Compare affiliation Hospital
St. Joseph'S Home Health, Inc. Personal Care Attendant · Midland, TX · NPI 1235157124

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2017
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Suresh Prasad MD PA (5 clinicians)

Practice addresses (Care Compare)

403 Pittsburg Ave
Odessa, TX 79761-5224
Phone (432) 332-3400

Hospital & facility affiliations

St Josephs Home Health Inc Home health agency · Midland, TX · CCN 453104
Medical Center Hospital Hospital · Odessa, TX · CCN 450132
Odessa Regional Medical Center Hospital · Odessa, TX · CCN 450661
Midland Memorial Hospital Hospital · Midland, TX · CCN 450133

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20171120002958	TX	Practitioner - Physician Assistant	0345507786	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Interoperability endpoints

Direct secure messaging: grace.andrade.1@9460.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X			Yes

Addresses

Primary practice location

403 Pittsburg Ave
Odessa, TX 79761-5224

Mailing address

3300 Bookins Ave
Odessa, TX 79764-1417
Phone (432) 638-8107

Other providers in Odessa, TX

Charlotte Anderson
Errol Claude Anderson, M.D.
Wesley Dale Anderson, L.S.A.
Andes Dental PLLC
Gregory Aaron Andis, M.S., LAT, ATC, PTA
Liliana Coromoto Andrade, MD
Obianuju Mercy Anelo
Dimitrios Angelis, M.D
Manohar Angirekula, M.D.
Asif Ali Khan Ansari, MD

All providers in Odessa, TX · Physician Assistant in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.