| Gretta Carroll, MD | |
|
280 1st St, Holloman Afb, NM 88330-8273 | |
| (575) 572-7091 | |
| Not Available |
| Full Name | Gretta Carroll |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 280 1st St, Holloman Afb, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619358900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29856 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091 | Gretta Carroll, MD 280 1st St, Holloman Afb, NM 88330-8273 Ph: (575) 572-7091 |
George L Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 49th Medical Group/sgopf, 280 First Street, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-7091 Fax: 575-572-2259 | |
David Mason, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 280 David L Goldfein St Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-1870 | |
Erin Kathleen O'pry, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 49th Medical Group, 280 1st St, Holloman Afb, NM 88330 Phone: 575-572-2778 | |
Dr. Dorie Elaine Pitzer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 49 Mdg, 280 First Str, Bldg 23, Holloman Afb, NM 88330 Phone: 575-572-0989 |