| Matthew David Grier, DO | |
|
20 Park Ave, Auburn, NY 13021-1911 | |
| (872) 231-3162 | |
| (702) 977-1496 |
| Full Name | Matthew David Grier |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 20 Park Ave, Auburn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871536417 | NPI | - | NPPES |
| P00362291 | Other | PA | RR MEDICARE PIN |
| P00362291 | Other | NY | RR MEDICARE PIN |
| GU039851 | Other | PA | MEDICARE GROUP |
| CC8362 | Other | NY | RR MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 1848 (Maine) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 241271 (New York) | Primary |
| Entity Name | Physical Medicine & Rehab Medical Service Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189919 PECOS PAC ID: 8123911500 Enrollment ID: O20040209000134 |
| Entity Name | National Health Rehabilitation LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780080218 PECOS PAC ID: 4284952615 Enrollment ID: O20150504000693 |
| Entity Name | Medical Director Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
| Entity Name | Infinite Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20200407002099 |
| Entity Name | Jds Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174224653 PECOS PAC ID: 2062948748 Enrollment ID: O20260114002266 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew David Grier, DO Po Box 22239, New York, NY 10087-0001 Ph: (702) 899-0595 | Matthew David Grier, DO 20 Park Ave, Auburn, NY 13021-1911 Ph: (872) 231-3162 |