Carol Grace, MD | |
1834 Main St, Ramona, CA 92065-2522 | |
(760) 789-2629 | |
(760) 788-3235 |
Full Name | Carol Grace |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1834 Main St, Ramona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649234139 | NPI | - | NPPES |
009968725 | Medicaid | AL | |
03627051 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G84833 (California) | Primary |
207Q00000X | Family Medicine | 25MA11155800 (New Jersey) | Secondary |
207Q00000X | Family Medicine | 00025976 (Alabama) | Secondary |
Entity Name | Lakeland Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851780951 PECOS PAC ID: 0446578298 Enrollment ID: O20150408000559 |
Mailing Address | Practice Location Address |
---|---|
Carol Grace, MD 1834 Main St, Ramona, CA 92065-2522 Ph: (760) 789-2629 | Carol Grace, MD 1834 Main St, Ramona, CA 92065-2522 Ph: (760) 789-2629 |
Dr. David S Dassoff, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 211 13th St, Ramona, CA 92065 Phone: 760-789-5160 Fax: 760-789-6316 | |
Christine Elizabeth Lind, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1236 Main St, Ramona, CA 92065 Phone: 760-789-5160 | |
Paul Hyunwoo Han, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 13th St, Ramona, CA 92065 Phone: 760-789-5160 Fax: 760-788-7962 | |
Dr. Todd Owen Steinberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1834 Main St, Ramona, CA 92065 Phone: 760-789-2629 Fax: 760-788-3235 | |
Ellen Ambas Blando, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1236 Main St, Ramona, CA 92065 Phone: 760-789-5160 | |
Charles Lynn Hardison, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 211 13th St, Ramona, CA 92065 Phone: 760-789-5160 Fax: 760-789-6316 | |
Gordon C Luan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1236 Main St, Ramona, CA 92065 Phone: 760-789-5160 |