Dr Damian W Grivetti, MD | |
309 S. Mccoy, Granville, IL 61326-9333 | |
(815) 339-6245 | |
(815) 339-2617 |
Full Name | Dr Damian W Grivetti |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 309 S. Mccoy, Granville, Illinois |
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 |
---|---|---|---|
1518970847 | NPI | - | NPPES |
036109350 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036109350 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Paul Medical Center | Mendota, IL | Hospital |
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
Perry Memorial Hospital | Princeton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mendota Community Hospital | 2264335777 | 38 |
Entity Name | Mendota Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
Entity Name | Illinois Veterans Home At Lasalle |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942367453 PECOS PAC ID: 0749172500 Enrollment ID: O20040326000425 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Damian W Grivetti, MD 600 E 1st St, Spring Valley, IL 61362-1512 Ph: (815) 339-6245 | Dr Damian W Grivetti, MD 309 S. Mccoy, Granville, IL 61326-9333 Ph: (815) 339-6245 |
Dr. Shawn E Bailey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 South Mccoy Street, Granville, IL 61326 Phone: 815-339-6245 Fax: 815-339-2617 |