David Grise, MD | |
27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033-2223 | |
(860) 659-0581 | |
(860) 652-3077 |
Full Name | David Grise |
---|---|
Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 27 Sycamore St, Glastonbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982681599 | NPI | - | NPPES |
010017362CT01 | Other | CT | BCBS |
001173624 | Medicaid | CT | |
017362 | Other | CT | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 017362 (Connecticut) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 017362 (Connecticut) | Primary |
Entity Name | Prime Healthcare, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
Mailing Address | Practice Location Address |
---|---|
David Grise, MD 30 Jordan Ln, Prime Healthcare, Wethersfield, CT 06109-1278 Ph: (860) 263-0253 | David Grise, MD 27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033-2223 Ph: (860) 659-0581 |
Dr. Shishir Mathur, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St Ste 400, Glastonbury, CT 06033 Phone: 860-633-0500 Fax: 860-633-5250 | |
Ralph Peter Stocker, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 195 Eastern Blvd, # 201, Glastonbury, CT 06033 Phone: 860-246-4260 Fax: 860-430-9770 | |
Dr. Abhishek Kumar, M.D Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 628 Hebron Ave Ste 300, Glastonbury, CT 06033 Phone: 230-518-3004 | |
Dr. Kenneth Abriola, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Hebron Ave Ste 113, Glastonbury, CT 06033 Phone: 860-657-0764 | |
Thomas Freund, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St, Suite 400, Glastonbury, CT 06033 Phone: 860-633-0500 Fax: 860-633-5250 | |
William Preskenis, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Sycamore St, Ste 100, Prime Healthcare, Glastonbury, CT 06033 Phone: 860-659-0581 Fax: 860-652-3077 | |
Anthony F Lasala, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 703 Hebron Ave, Glastonbury, CT 06033 Phone: 860-659-8830 Fax: 860-633-8529 |