Lisa C Grant, MD | |
1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 | |
(541) 296-1100 | |
(541) 236-0606 |
Full Name | Lisa C Grant |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 24 Years |
Location | 1615 E 12th St, The Dalles, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801805627 | NPI | - | NPPES |
233198 | Medicaid | OR | |
8402315 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | MD24969 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mid-columbia Medical Center | The dalles, OR | Hospital |
Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
Klickitat Valley Hospital | Goldendale, WA | Hospital |
Ohsu Hospital And Clinics | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-columbia Medical Center | 3779487251 | 98 |
Entity Name | Mid-columbia Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
Mailing Address | Practice Location Address |
---|---|
Lisa C Grant, MD 1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 Ph: (541) 296-1100 | Lisa C Grant, MD 1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 Ph: (541) 296-1100 |
Daniel E Ferber, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1060 Webber St, The Dalles, OR 97058 Phone: 541-296-5452 | |
Emily A. Moser, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1100 Fax: 541-236-0606 | |
Dr. Edwin Romel Soriano De Leon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1060 Webber St, The Dalles, OR 97058 Phone: 541-296-5452 | |
Denise Marie Dion, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 414 Washington St, Suite 1b, The Dalles, OR 97058 Phone: 541-980-5372 Fax: 541-296-4500 |