Dr Galo A Grijalva, MD | |
207 Foote Ave, Jamestown, NY 14701-7077 | |
(716) 485-7870 | |
(716) 485-7878 |
Full Name | Dr Galo A Grijalva |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 32 Years |
Location | 207 Foote Ave, Jamestown, New York |
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 |
---|---|---|---|
1629157649 | NPI | - | NPPES |
2754087 | Medicaid | OH | |
64106693 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35-082089 (Ohio) | Secondary |
208600000X | Surgery | 39428 (Kentucky) | Secondary |
208600000X | Surgery | 250606 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Upmc Chautauqua At Wca | 4385630342 | 20 |
Great Lakes Physician Practice Pc | 6709007701 | 127 |
Entity Name | Upmc Chautauqua At Wca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295033298 PECOS PAC ID: 4385630342 Enrollment ID: O20040423000846 |
Entity Name | Great Lakes Physician Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
Mailing Address | Practice Location Address |
---|---|
Dr Galo A Grijalva, MD 207 Foote Ave, Jamestown, NY 14701-7077 Ph: (716) 485-7870 | Dr Galo A Grijalva, MD 207 Foote Ave, Jamestown, NY 14701-7077 Ph: (716) 485-7870 |
Timothy Brown, Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701 Phone: 716-483-1183 | |
Bert W Rappole, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701 Phone: 716-483-1183 Fax: 716-483-2445 | |
Scott H Bedwell, MD Surgery Medicare: Medicare Enrolled Practice Location: 15 S Main St Ste 170, Jamestown, NY 14701 Phone: 716-483-1183 Fax: 716-483-2445 | |
George W Conner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 17 Sherman St, Jamestown, NY 14701 Phone: 716-484-0173 Fax: 716-484-0177 | |
Dr. Matthew S Chang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701 Phone: 716-483-1183 | |
Dr. Russell D Lee, MD Surgery Medicare: Medicare Enrolled Practice Location: 15 S Main St, Suite 170, Jamestown, NY 14701 Phone: 716-483-1183 Fax: 716-664-4903 |