| Dr Damian W Grivetti, MD | |
|
309 S. Mccoy, Granville, IL 61326-9333 | |
| (815) 339-6245 | |
| (815) 339-2617 |
| Full Name | Dr Damian W Grivetti |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 309 S. Mccoy, Granville, Illinois |
| 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 |
|---|---|---|---|
| 1518970847 | NPI | - | NPPES |
| 036109350 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036109350 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Healthcare Home Care | Loves park, IL | Home health agency |
| Osf Saint Elizabeth Medical Center | Peru, IL | Hospital |
| Osf Saint Clare Medical Center | Princeton, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mendota Community Hospital | 2264335777 | 51 |
| Entity Name | Mendota Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
| Entity Name | OSF Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Damian W Grivetti, MD 600 E 1st St, Spring Valley, IL 61362-1512 Ph: (815) 339-6245 | Dr Damian W Grivetti, MD 309 S. Mccoy, Granville, IL 61326-9333 Ph: (815) 339-6245 |
Dr. Shawn E Bailey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 South Mccoy Street, Granville, IL 61326 Phone: 815-339-6245 Fax: 815-339-2617 |