Garic Grisbaum, MD | |
900 Wilkinson St, Mandeville, LA 70448-3533 | |
(985) 624-4450 | |
(985) 624-4461 |
Full Name | Garic Grisbaum |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 29 Years |
Location | 900 Wilkinson St, Mandeville, Louisiana |
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 |
---|---|---|---|
1902217581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 307905 (Louisiana) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 23982 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pathway Healthcare- Mississippi Llc | 3779844774 | 7 |
Entity Name | Pathway Healthcare- Columbus Ms Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245755990 PECOS PAC ID: 4385903905 Enrollment ID: O20180104001883 |
Entity Name | Pathway Healthcare- Mississippi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013425503 PECOS PAC ID: 3779844774 Enrollment ID: O20180308001891 |
Entity Name | Impact Behavioral Counseling Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386169050 PECOS PAC ID: 1355604836 Enrollment ID: O20180416000807 |
Entity Name | Pathway Healthcare - Jackson, Ms, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487179156 PECOS PAC ID: 1052674439 Enrollment ID: O20180417002749 |
Mailing Address | Practice Location Address |
---|---|
Garic Grisbaum, MD 4512 Orleans Blvd, Jefferson, LA 70121-1224 Ph: (504) 905-8970 | Garic Grisbaum, MD 900 Wilkinson St, Mandeville, LA 70448-3533 Ph: (985) 624-4450 |
Dr. Michael Henke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1305 W Causeway Approach, Mandeville, LA 70471 Phone: 985-276-9460 Fax: 289-216-1304 | |
Broderick Letrey Pinkney, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2810 East Causeway Approach, Mandeville, LA 70449 Phone: 985-875-2713 Fax: 504-373-6103 | |
Dr. James Edward Hussey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 375 Winchester Cir, Mandeville, LA 70448 Phone: 985-674-1505 | |
Christopher W. Lartigue, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 820 Lafitte St, Ste. 107, Mandeville, LA 70448 Phone: 985-624-5020 Fax: 985-624-5029 | |
Dr. Thomas L Keister Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2810 E Causeway Approach, Mandeville, LA 70448 Phone: 985-875-2340 | |
Leanne Mcburney Truehart, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 943 Cahoula Ct, Mandeville, LA 70471 Phone: 985-893-7444 Fax: 985-893-0706 | |
Dr. Isfana J Ali, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 Wilkinson St, Mandeville, LA 70448 Phone: 985-624-4450 Fax: 985-624-4461 |