Allen Tracy Grisson, MD | |
1204 N Mound St, Radiology Department, Nacogdoches, TX 75961-4027 | |
(936) 568-8514 | |
(903) 663-0378 |
Full Name | Allen Tracy Grisson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 1204 N Mound St, Nacogdoches, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700836335 | NPI | - | NPPES |
047351401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | K3580 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
Nacogdoches Medical Center | Nacogdoches, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Consultants Of Nacogdoches Llp | 1254365075 | 16 |
Entity Name | Radiology Consultants Of Nacogdoches Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578512232 PECOS PAC ID: 1254365075 Enrollment ID: O20050921000832 |
Mailing Address | Practice Location Address |
---|---|
Allen Tracy Grisson, MD Po Box 5370, Longview, TX 75608-5370 Ph: (903) 663-4800 | Allen Tracy Grisson, MD 1204 N Mound St, Radiology Department, Nacogdoches, TX 75961-4027 Ph: (936) 568-8514 |
Mary Beth Calme, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches Memorial Hospital Radiology Dept, Nacogdoches, TX 75961 Phone: 936-558-3567 Fax: 903-663-0378 | |
Kathryn Marie Lewis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4920 N.e. Stallilngs Drive, Nacogdoches, TX 75961 Phone: 936-568-3493 Fax: 281-548-3513 | |
Glenn Monroe Davis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 | |
Chelsea Lewis, RDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 1014 Fm 226, Nacogdoches, TX 75961 Phone: 936-657-0030 | |
Tyrrel C Grohman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 | |
Dr. Harold R Levine Ii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 214-403-8118 | |
Christopher Timothy Sherman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-462-4306 Fax: 936-462-4246 |