| Mr Lonnie L Grant, PA-C | |
|
2107 Box Butte Ave, Alliance, NE 69301-4415 | |
| (308) 762-7244 | |
| (308) 762-6657 |
| Full Name | Mr Lonnie L Grant |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 2107 Box Butte Ave, Alliance, Nebraska |
| 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 |
|---|---|---|---|
| 1568521540 | NPI | - | NPPES |
| P00165962 | Other | RR MEDICARE - SFC | |
| 38772 | Other | NE | BCBSNE |
| 970016869 | Other | RR MEDICARE - BBGH | |
| 506729276 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 762 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Box Butte General Hospital | Alliance, NE | Hospital |
| Regional West Medical Center | Scottsbluff, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Childrens And Allied Health Inc | 1557443058 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lonnie L Grant, PA-C 2091 Box Butte Ave, Ste 500, Alliance, NE 69301-4456 Ph: (308) 623-2139 | Mr Lonnie L Grant, PA-C 2107 Box Butte Ave, Alliance, NE 69301-4415 Ph: (308) 762-7244 |
Sally Beth Bryner, MSN, PRN,FNP-BD,CLC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2091 Box Butte Ave, Suite 500, Alliance, NE 69301 Phone: 308-762-2534 Fax: 308-762-2764 | |
Bruce Dwayne Forney, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2307 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-3741 Fax: 308-762-7743 | |
Jessica Ann Ott, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 2101 Box Butte Ave Ste 700, Alliance, NE 69301 Phone: 308-762-7244 | |
Tiffany Lynn Gies, APRN/FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 |