Dr Brandon Cy Grinage, MD | |
203 Woodpark Pl, Bldg B Ste 102, Woodstock, GA 30188 | |
(770) 580-0979 | |
Not Available |
Full Name | Dr Brandon Cy Grinage |
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Gender | Male |
Speciality | Anesthesiology |
Location | 203 Woodpark Pl, Woodstock, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033372578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 068419 (Georgia) | Primary |
208600000X | Surgery | LL31143 (South Carolina) | Secondary |
Entity Name | Beyond Mental Health Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174232151 PECOS PAC ID: 7315301504 Enrollment ID: O20230906002218 |
Mailing Address | Practice Location Address |
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Dr Brandon Cy Grinage, MD 203 Woodpark Pl, Bldg B Ste 102, Woodstock, GA 30188 Ph: (770) 580-0979 | Dr Brandon Cy Grinage, MD 203 Woodpark Pl, Bldg B Ste 102, Woodstock, GA 30188 Ph: (770) 580-0979 |
Larry Tufani Mabine, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 7914 Highway 92, Ste 130, Woodstock, GA 30189 Phone: 770-924-8438 Fax: 770-924-8431 | |
Jeffrey W Rubin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 240 Heritage Walk, Suite 101, Woodstock, GA 30188 Phone: 770-516-7880 Fax: 770-516-7870 | |
Dr. James David Ellner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Stonebridge Pkwy, Suite 420, Woodstock, GA 30189 Phone: 770-544-1000 Fax: 770-544-0302 | |
Dr. Monica Malys Bekken, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2001 Professional Way, Suite 250, Woodstock, GA 30188 Phone: 770-926-0771 Fax: 770-926-9321 |