| 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 |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, North Carolina |
| 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 |
|---|---|---|---|
| 1689026437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | T8214 (Texas) | Secondary |
| 208600000X | Surgery | 2024-0018 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Jennie Edmundson | Council bluffs, IA | Hospital |
| Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Clinic Inc | 4880506062 | 536 |
| Cumberland County Hospital System Inc | 1850204041 | 532 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20040129000296 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 | |
Dr. Jack Ryan Brandau, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 | |
Elizabeth A Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2817 Reilly St, Fort Bragg, NC 28310 Phone: 910-907-6000 | |
Thomas Michael Kelley Jr., Surgery Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 910-907-7624 | |
Dr. Simon Hovannes Telian, M.D. Surgery Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Womack Army Medical Center - Wamc, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |