Dr Leon M Grigoryev, MD | |
1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 | |
(601) 936-8801 | |
(601) 936-8808 |
Full Name | Dr Leon M Grigoryev |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 1 Layfair Dr, Flowood, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790876811 | NPI | - | NPPES |
407739 | Other | MS | WINDSOR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 20728 (Mississippi) | Primary |
Entity Name | Mississippi Methodist Hospital & Rehabilitation Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285772293 PECOS PAC ID: 8921912270 Enrollment ID: O20031119000501 |
Mailing Address | Practice Location Address |
---|---|
Dr Leon M Grigoryev, MD 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 Ph: (601) 936-8801 | Dr Leon M Grigoryev, MD 1 Layfair Dr, Suite 100, Flowood, MS 39232-9717 Ph: (601) 936-8801 |
Michael H Winkelmann, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 | |
David C Collipp, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 | |
Rahul Vohra, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2470 Flowood Drive, Flowood, MS 39232 Phone: 877-554-4257 Fax: 601-983-2845 |