Gordon L Grenn, | |
4002 Raulerson Dr, Lake Worth, FL 33463-8927 | |
(561) 964-4077 | |
(561) 964-9296 |
Full Name | Gordon L Grenn |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 54 Years |
Location | 4002 Raulerson Dr, Lake Worth, Florida |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871603670 | NPI | - | NPPES |
265885200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS0003345 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Crossings, The | Lake worth, FL | Nursing home |
Entity Name | Independent Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013908912 PECOS PAC ID: 4587694716 Enrollment ID: O20050817000898 |
Entity Name | Gordon Grenn D.o., P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326348681 PECOS PAC ID: 9739367384 Enrollment ID: O20110629000580 |
Mailing Address | Practice Location Address |
---|---|
Gordon L Grenn, 4002 Raulerson Road, Lake Worth, FL 33463-8927 Ph: (561) 964-4077 | Gordon L Grenn, 4002 Raulerson Dr, Lake Worth, FL 33463-8927 Ph: (561) 964-4077 |
Dr. Rebecca C. Bache, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4140 Lake Worth Rd, Lake Worth, FL 33461 Phone: 561-965-9638 | |
Elizabeth Ann Gunther, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3618 Lantana Rd Ste 100, Lake Worth, FL 33462 Phone: 561-318-6158 Fax: 561-328-6918 | |
Dr. Zakiya Bomani Moyenda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10276 Oak Meadow Ln Ste 1a, Lake Worth, FL 33449 Phone: 954-774-1414 | |
Dr. Jack B Goldberg, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4801 S Congress Ave, Suite 306, Lake Worth, FL 33461 Phone: 561-434-1469 Fax: 561-434-1197 | |
Agathe Georges, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4075 S State Road 7 Ste T, Lake Worth, FL 33449 Phone: 561-446-4312 | |
Dr. Bhagwandatt Rajcoomar, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4765 S Congress Ave Ste B, Lake Worth, FL 33461 Phone: 561-965-5705 Fax: 561-964-1188 | |
Antonella M Berger, ARNP Family Medicine Medicare: Medicare Enrolled Practice Location: 8837 Sea Chase Dr, Lake Worth, FL 33467 Phone: 914-255-2880 |