Brian Grissom, CRNA | |
1202 S Tyler St, Covington, LA 70433-2330 | |
(985) 898-4000 | |
Not Available |
Full Name | Brian Grissom |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1202 S Tyler St, Covington, Louisiana |
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 |
---|---|---|---|
1639106891 | NPI | - | NPPES |
1563421 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN097498 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Tammany Parish Hospital | Covington, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Total Anesthesia Care Stph Llc | 0749255909 | 50 |
Entity Name | Total Anesthesia Care Stph Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
Entity Name | Parish Anesthesia Of Jefferson, L.l.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508054560 PECOS PAC ID: 6608965975 Enrollment ID: O20071210000390 |
Entity Name | Anesthesia Care Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609833474 PECOS PAC ID: 7012937105 Enrollment ID: O20140926000783 |
Entity Name | Professional Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851712699 PECOS PAC ID: 5193953982 Enrollment ID: O20150604000244 |
Mailing Address | Practice Location Address |
---|---|
Brian Grissom, CRNA 120 Innwood Dr, Covington, LA 70433-9123 Ph: (985) 892-3225 | Brian Grissom, CRNA 1202 S Tyler St, Covington, LA 70433-2330 Ph: (985) 898-4000 |
Kaleb Killens, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 67252 Industry Ln, Covington, LA 70433 Phone: 985-809-9888 | |
Regina Bourgeois, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Christina Pollet, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Esteban R Zorrilla, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
Jason E Bernard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 S Tyler St, Covington, LA 70433 Phone: 985-898-4000 | |
David M Burdett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1202 Styler St, Covington, LA 70433 Phone: 985-898-4000 | |
Joshua Fay, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 95 Judge Tanner Blvd, Covington, LA 70433 Phone: 540-761-7371 |