| Johnathan R Grant, DO | |
|
520 S 7th St, Vincennes, IN 47591 | |
| (812) 885-3243 | |
| (812) 885-3915 |
| Full Name | Johnathan R Grant |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 18 Years |
| Location | 520 S 7th St, Vincennes, Indiana |
| 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 |
|---|---|---|---|
| 1740272251 | NPI | - | NPPES |
| 258190112 | Other | IN | MEDICARE |
| 000000820667 | Other | IN | ANTHEM |
| 201152480 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Vincennes, IN | Hospital |
| Crawford Memorial Hospital | Robinson, IL | Hospital |
| Lawrence County Memorial Hospital | Lawrenceville, IL | Hospital |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Good Samaritan Hospital Physician Services, Inc | 3971671330 | 123 |
| Entity Name | Good Samaritan Hospital Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnathan R Grant, DO 520 S 7th St, Vincennes, IN 47591-1038 Ph: () - | Johnathan R Grant, DO 520 S 7th St, Vincennes, IN 47591 Ph: (812) 885-3243 |
Dr. Alan D Stewart, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3601 Fax: 812-885-3614 | |
Richard Walter, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1813 Willow St, Suite 5 B, Vincennes, IN 47591 Phone: 812-882-2703 Fax: 812-882-2760 | |
Andrei Mihai Croitoru, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Good Samaritan Hospital, Vincennes, IN 47591 Phone: 812-885-2500 | |
Renee L Bartlett, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-886-6565 Fax: 812-886-6566 | |
Billy Powell Jr., MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-882-5220 | |
Dr. Oluwagbenga Serrano, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1813 Willow St Ste 5b, Vincennes, IN 47591 Phone: 812-882-2703 Fax: 812-882-2760 | |
Dr. Rhonda J Eubanks, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 520 S 7th St, Vincennes, IN 47591 Phone: 812-885-3770 Fax: 812-885-3769 |