Individual ProviderGraciela WilcoxPediatricsAllopathic & Osteopathic PhysiciansPractice Address7910 Frost St Ste 360, San Diego, CA 92123-2776(858) 246-0053(831) 333-0999PECOS EnrollmentBased on the most recent information from CMS, provider Graciela Wilcox is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 2:29 PM.Profile DetailsProvider ID1083674469Provider TypeIndividualFull NameWilcox, GracielaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/28/2006Last Updated7/16/2024Contact InformationPractice LocationPractice Address7910 Frost St Ste 360, San Diego, CA 92123-2776Phone(858) 246-0053FaxUnlisted FaxMailing LocationMailing Address2 Upper Ragsdale Dr Ste B210, Monterey, CA 93940-7851Phone(831) 333-0999Fax(831) 333-0909Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense31480ArizonaCode173000000XDescriptionLegal MedicineOther Service ProvidersLicense31480ArizonaCode2080P0006XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseC140630California