Lance Eugene Gravely, MD | |
50 Alessandro Pl Ste 340, Pasadena, CA 91105-3184 | |
(323) 221-1302 | |
(323) 221-1502 |
Full Name | Lance Eugene Gravely |
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Gender | Male |
Speciality | Neurosurgery |
Experience | 26 Years |
Location | 50 Alessandro Pl Ste 340, Pasadena, California |
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 |
---|---|---|---|
1538228135 | NPI | - | NPPES |
00A878710 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | A87871 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Huntington Memorial Hospital | Pasadena, CA | Hospital |
Providence Tarzana Medical Center | Tarzana, CA | Hospital |
Entity Name | Lance E.gravely, M.d., Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720210289 PECOS PAC ID: 1052457660 Enrollment ID: O20091013000541 |
Mailing Address | Practice Location Address |
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Lance Eugene Gravely, MD 39 Congress St, Suite 302, Pasadena, CA 91105-3024 Ph: (323) 221-1302 | Lance Eugene Gravely, MD 50 Alessandro Pl Ste 340, Pasadena, CA 91105-3184 Ph: (323) 221-1302 |
Dr. Ian Beaudoin Ross, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 S Raymond Ave, Suite 330, Pasadena, CA 91105 Phone: 626-793-8194 Fax: 626-793-3664 | |
Igor Fineman, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 S Raymond Ave, Suite 301, Pasadena, CA 91105 Phone: 626-535-9552 Fax: 626-535-9505 | |
Celene Bardales Mulholland, M.D., MPH Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 630 S Raymond Ave Unit 330, Pasadena, CA 91105 Phone: 626-793-8194 | |
Xin Sean Xin, D.O. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 484 S. Arroyo Pkwy, Unit 303, Pasadena, CA 91105 Phone: 814-883-6750 | |
Paul Kaloostian, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 960 E Green St Ste 320, Pasadena, CA 91106 Phone: 323-633-5419 |