Patricia A Grayson, NP | |
11590 N Meridian St, Ste 300, Carmel, IN 46032-4529 | |
(317) 948-7450 | |
(317) 688-5098 |
Full Name | Patricia A Grayson |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 11590 N Meridian St, Carmel, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093808982 | NPI | - | NPPES |
200833890 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 28127287A (Indiana) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 71002039 (Indiana) | Primary |
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
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Patricia A Grayson, NP 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: () - | Patricia A Grayson, NP 11590 N Meridian St, Ste 300, Carmel, IN 46032-4529 Ph: (317) 948-7450 |
Mrs. Heather M Caul, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13345 Illinois St, Carmel, IN 46032 Phone: 317-396-1300 Fax: 317-352-3417 | |
Jennifer M Spors, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11700 N Meridian St, Carmel, IN 46032 Phone: 317-688-2000 | |
Gaelle Maviluka Bulabula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13090 Petigru Dr, Carmel, IN 46032 Phone: 317-733-8608 | |
Mrs. Margaret K Vanderveen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951 | |
Taylor K Schub, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13420 N Meridian St Ste 400, Carmel, IN 46032 Phone: 317-573-7050 Fax: 317-573-7098 | |
Lesley L Leggington, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12175 Silvara Ct, Carmel, IN 46032 Phone: 317-370-6656 | |
Molly Taylor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 N Rangeline Rd, Carmel, IN 46032 Phone: 317-343-0611 |