Dr John Anthony Griswold Jr, MD | |
3601 4th St, Lubbock, TX 79430-0002 | |
(806) 743-2373 | |
(806) 743-4354 |
Full Name | Dr John Anthony Griswold Jr |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 43 Years |
Location | 3601 4th St, Lubbock, 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 |
---|---|---|---|
1720062789 | NPI | - | NPPES |
201015993 | Medicaid | NM | |
A039 | Other | NM | TRIWEST |
114085101 | Medicaid | TX | |
80840Z | Other | TX | HMO BLUE |
83G204 | Other | TX | BC/BS |
100204440A | Medicaid | OK | |
114085100 | Other | TX | FIRSTCARE COMMERCIAL |
125354403 | Medicaid | TX | |
201015993 | Other | NM | PRESBYTERIAN COMMERCIAL |
125354402 | Medicaid | TX | |
Y0224 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | G1419 (Texas) | Secondary |
2086S0102X | Surgery - Surgical Critical Care | G1419 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center Lubbock | 4385549674 | 318 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Dr John Anthony Griswold Jr, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Dr John Anthony Griswold Jr, MD 3601 4th St, Lubbock, TX 79430-0002 Ph: (806) 743-2373 |
Tabitha Threatt, MD Surgery Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2373 Fax: 806-743-4354 | |
Ted W Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 | |
Sammy Anthony Deeb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3509 22nd St, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8500 | |
Monja L Proctor, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4102 22nd Pl, Lubbock, TX 79410 Phone: 806-725-0237 Fax: 806-725-1030 | |
Dr. Brittany Kay Bankhead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354 | |
Adam Purtell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 | |
Dr. Gerald Lynn Woolam, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-771-2222 Fax: 806-771-2224 |