Patrick Grayson, MD | |
1850 Old Knoxville Rd, Tazewell, TN 37879-3625 | |
(423) 626-4211 | |
Not Available |
Full Name | Patrick Grayson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 28 Years |
Location | 1850 Old Knoxville Rd, Tazewell, Tennessee |
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 |
---|---|---|---|
1720029275 | NPI | - | NPPES |
1561100 | Medicaid | LA | |
4067317 | Other | TN | BCBS OF TENNESSEE |
P00255392 | Other | TN | RAILROAD MEDICARE |
3875615 | Medicaid | TN | |
010256682 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 36478 (Tennessee) | Primary |
207Q00000X | Family Medicine | MD.13301R (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
East Carroll Parish Hospital | Lake providence, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Carroll Parish Hospital | 1153216619 | 12 |
Entity Name | East Carroll Parish Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Oakdale Ess Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Entity Name | Ess Of Ferriday Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346900560 PECOS PAC ID: 2769876275 Enrollment ID: O20220228000365 |
Mailing Address | Practice Location Address |
---|---|
Patrick Grayson, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: (865) 985-7234 | Patrick Grayson, MD 1850 Old Knoxville Rd, Tazewell, TN 37879-3625 Ph: (423) 626-4211 |
Francisco Mappala, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1850 Old Knoxville Rd, Tazewell, TN 37879 Phone: 423-626-4211 |