Dr Samuel L Grasso, DO | |
2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-5001 | |
(515) 975-5623 | |
Not Available |
Full Name | Dr Samuel L Grasso |
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Gender | Male |
Speciality | Surgery |
Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689026437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | T8214 (Texas) | Primary |
Entity Name | Acute Care Surgical Affiliates Of Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407322415 PECOS PAC ID: 9931446481 Enrollment ID: O20190123000295 |
Mailing Address | Practice Location Address |
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Dr Samuel L Grasso, DO 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-0001 Ph: (515) 975-5623 | Dr Samuel L Grasso, DO 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310-5001 Ph: (515) 975-5623 |
Mr. Adam Randolph Pattyn, DO Surgery Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Elizabeth A Miller, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-6000 | |
Thomas Michael Kelley Jr., Surgery Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-7624 | |
Dr. Simon Hovannes Telian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310 Phone: 910-907-6053 | |
Dr. Brenda Judith Alcover-ballard, MD Surgery Medicare: Medicare Enrolled Practice Location: General Surgery Clinic, Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-7486 Fax: 910-907-7935 | |
Dr. Robert Joseph Conrad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave, Womack Army Medical Center - Wamc, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |