| Justin Grannell, DO | |
|
306 E Vistula, Bristol, IN 46507-9489 | |
| (574) 848-4427 | |
| (574) 848-4592 |
| Full Name | Justin Grannell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 306 E Vistula, Bristol, Indiana |
| 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 |
|---|---|---|---|
| 1609197391 | NPI | - | NPPES |
| 201023380 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02003881A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elara Caring | South bend, IN | Home health agency |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beacon Medical Group Inc | 1254243306 | 479 |
| Entity Name | Beacon Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Grannell, DO 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: () - | Justin Grannell, DO 306 E Vistula, Bristol, IN 46507-9489 Ph: (574) 848-4427 |
Alan Henry Bierlein, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 220 Bloomingdale Dr, Bristol, IN 46507 Phone: 574-848-4449 Fax: 574-848-1343 | |
Dr. Elaine L. Shafer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 E Vistula St, Bristol, IN 46507 Phone: 574-848-4427 Fax: 574-848-4592 | |
Lisa J Felsman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Vistula, Bristol, IN 46507 Phone: 574-848-4427 Fax: 574-848-4592 | |
Daniel J Berger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 E Vistula St, Bristol, IN 46507 Phone: 574-848-4039 |