| Michael Grillon, MD | |
|
20486 Market Street, Onancock, VA 23417 | |
| (757) 302-2700 | |
| (757) 787-9262 |
| Full Name | Michael Grillon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 20486 Market Street, Onancock, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639178122 | NPI | - | NPPES |
| C06115 | Other | VA | GROUP PTAN |
| 1073988 | Other | WV | BRICKSTREET-WV COMP |
| 1639178122 | Medicaid | VA | |
| 020002600 | Other | VA | BLACK LUNG |
| 2132448 | Other | VA | MAMSI |
| 5472512 | Other | VA | AETNA |
| 790577T | Medicaid | NC | |
| 1373138 | Other | VA | CIGNA |
| 178223 | Other | VA | BCBS |
| 3810012912 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 0101055534 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | 0101055534 (Virginia) | Primary |
| Entity Name | Vohra Wound Physicians Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205130911 PECOS PAC ID: 6406039882 Enrollment ID: O20141203002671 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Grillon, MD 8262 Atlee Rd, Suite 205, Mechanicsville, VA 23116-1816 Ph: (804) 559-0194 | Michael Grillon, MD 20486 Market Street, Onancock, VA 23417 Ph: (757) 302-2700 |
Joan Lingen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20306 Badger Ln, Onancock, VA 23417 Phone: 757-414-0400 Fax: 757-414-0569 | |
Parker Dooley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20280 Market St, Onancock, VA 23417 Phone: 757-787-7374 Fax: 757-787-4513 |