| Charles J Grodzin, MD | |
|
310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | |
| (270) 659-5835 | |
| (270) 659-5856 |
| Full Name | Charles J Grodzin |
|---|---|
| Gender | Male |
| Speciality | Critical Care (intensivists) |
| Experience | 36 Years |
| Location | 310 N L Rogers Wells Blvd, Glasgow, Kentucky |
| 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 |
|---|---|---|---|
| 1215904859 | NPI | - | NPPES |
| 142057203 | Medicaid | TX | |
| 142057204 | Medicaid | TX | |
| 290013827 | Other | TX | RR MEDICARE DENTO CO |
| 290013828 | Other | TX | RR MEDICARE DALLAS CO |
| 142057201 | Medicaid | TX | |
| 8A2490 | Other | TX | BCBS |
| 142058002 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Western Missouri Medical Center | Warrensburg, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-diagnostic And Medical Clinic Llc | 2860399623 | 151 |
| Entity Name | Imc-diagnostic And Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447201066 PECOS PAC ID: 2860399623 Enrollment ID: O20031218000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Grodzin, MD 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5835 | Charles J Grodzin, MD 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 Ph: (270) 659-5835 |
Carlos Enrique Kummerfeldt Fabian, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5835 Fax: 270-659-5856 | |
Dr. Louis Damian, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-659-5834 Fax: 270-659-5946 | |
Tanvi Lather, M.B.B.S Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-4444 | |
Dr. Klark Bennett Turpen, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1301 N Race St, Glasgow, KY 42141 Phone: 270-651-3729 Fax: 270-651-1899 | |
Yashpal Bhanuprasad Modi, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Suite 306, Glasgow, KY 42141 Phone: 270-659-5890 Fax: 270-659-5698 | |
Dr. Alison S Campbell, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-651-1111 Fax: 270-659-5852 |