| Marshall Salvatore Grillo Jr, DO | |
|
600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 | |
| (810) 606-1660 | |
| (810) 606-1655 |
| Full Name | Marshall Salvatore Grillo Jr |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 36 Years |
| Location | 600 Health Park Blvd, Grand Blanc, Michigan |
| 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 |
|---|---|---|---|
| 1730114448 | NPI | - | NPPES |
| 176254 | Other | PA | BS HIGHMARK |
| 000000566339 | Other | KY | ANTHEM |
| 0017202200012 | Medicaid | PA | |
| 1730114448 | Medicaid | VA | |
| PENDING | Medicaid | FL | |
| 821942 | Other | PA | 1ST PRIORITY HEALTHCARE |
| V0803 | Other | FL | HFMG |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Louis Vascular Surgical Specialists Pc | 9739548991 | 5 |
| St Louis Vascular Surgical Specialists Pc | 9739548991 | 5 |
| Entity Name | St Louis Vascular Surgical Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477246312 PECOS PAC ID: 9739548991 Enrollment ID: O20230706000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Salvatore Grillo Jr, DO 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 Ph: (810) 606-1660 | Marshall Salvatore Grillo Jr, DO 600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 Ph: (810) 606-1660 |
Abby Johnson, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Joseph Allen Kingsbury, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1620 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-7190 Fax: 810-606-7186 | |
Amy Leeann Majorana, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Dr. Ashley Marie Richardson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000 | |
Andrea Jo Goethals, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8235 Holly Rd, Suite 1, Grand Blanc, MI 48439 Phone: 810-694-9700 Fax: 810-694-9940 | |
Dr. Brian Scott Shapiro, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 9463 Holly Rd, Suite 102, Grand Blanc, MI 48439 Phone: 810-579-2600 Fax: 810-579-2601 | |
Sara N Nesheiwat, DO Surgery Medicare: Medicare Enrolled Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-7714 |