Bradley Grissom, NP | |
2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 | |
(217) 554-1700 | |
(217) 554-1704 |
Full Name | Bradley Grissom |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 2300 N. Vermilion Avenue, Danville, Illinois |
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 |
---|---|---|---|
1891830402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209005691 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Carle Foundation Hospital | Urbana, IL | Hospital |
Carle Hoopeston Regional Health Center | Hoopeston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hoopeston Community Memorial Hospital | 3577456037 | 121 |
Carle Health Care Incorporated | 3577515774 | 799 |
Entity Name | Hoopeston Community Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366480873 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Bradley Grissom, NP P.o. Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8300 | Bradley Grissom, NP 2300 N. Vermilion Avenue, Medical Sub-specialties, Danville, IL 61832 Ph: (217) 554-1700 |
Kara Kaye Sharpf, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Ave, Danville, IL 61832 Phone: 217-477-4770 Fax: 217-444-4977 | |
Jennifer Lynn Laubscher, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Madison St, Danville, IL 61832 Phone: 217-431-7888 Fax: 217-431-7634 | |
Mrs. Anasooyadevi Vijay, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 E Main Street, Danville, IL 61832 Phone: 217-554-3000 | |
Mrs. Jessica Scot Gay, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3545 N Vermilion St, Danville, IL 61832 Phone: 217-651-6801 | |
Randi M Morgan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 812 N Logan Ave, Danville, IL 61832 Phone: 217-443-5000 Fax: 217-443-1965 | |
Mrs. Susan E. Jordan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832 Phone: 217-477-4720 Fax: 217-477-4758 | |
Janis Ostiguy, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 311 W. Fairchild Street, Family Medicine/convenient Care, Danville, IL 61832 Phone: 217-431-7650 Fax: 217-431-7634 |