Dr Gary Douglas Gridley, MD | |
269 S Candy Ln, Cottonwood, AZ 86326-4158 | |
(928) 639-6150 | |
(928) 639-6561 |
Full Name | Dr Gary Douglas Gridley |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 34 Years |
Location | 269 S Candy Ln, Cottonwood, Arizona |
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 |
---|---|---|---|
1336120260 | NPI | - | NPPES |
8930278 | Other | WA | CRIME VICTIMS PGM |
5647GR | Other | WA | REGENCE BLUE SHIELD |
0181547 | Other | WA | DEPT OF LABOR & INDUSTRIE |
8312498 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD00030603 (Washington) | Secondary |
207L00000X | Anesthesiology | 30200 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Verde Valley Medical Center | Cottonwood, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Arizona Healthcare Corporation | 3577473362 | 352 |
Entity Name | Northern Arizona Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Douglas Gridley, MD 1200 N Beaver St, Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Dr Gary Douglas Gridley, MD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6150 |
Dr. Charles A Cluff, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
Preston Clark Roby, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3655 E Penny Ln, Cottonwood, AZ 86326 Phone: 928-634-3902 | |
Ann Carlson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
Dr. Amy L Gottschalk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 Fax: 928-639-6561 | |
David Crowell, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 W Highway 89a, Cottonwood, AZ 86326 Phone: 602-273-6770 Fax: 602-889-0489 | |
William A. Levinger, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6150 |