| Breyanna Grays, MD | |
|
305 W Jackson St Ste 103, Carbondale, IL 62901 | |
| (618) 351-4972 | |
| (618) 351-6522 |
| Full Name | Breyanna Grays |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 13 Years |
| Location | 305 W Jackson St Ste 103, Carbondale, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942560800 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virginia Hospital Center | Arlington, VA | Hospital |
| Jack Hughston Memorial Hospital | Phenix city, AL | Hospital |
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Caromont Regional Medical Center | Gastonia, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurophysiologic Interpretive Medicine Pllc | 2567617616 | 11 |
| Neurophysiologic Interpretive Specialists Llc | 5496933657 | 10 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neurophysiologic Interpretive Specialists Llc | 5496933657 | 10 |
| Neurophysiologic Interpretive Specialists Llc | 5496933657 | 10 |
| Neurophysiologic Interpretive Specialists Llc | 5496933657 | 10 |
| Neuroshield Network Se Llc | 7719243492 | 9 |
| Neurophysiologic Interpretive Specialists Llc | 5496933657 | 10 |
| Entity Name | Neurophysiologic Interpretive Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316256167 PECOS PAC ID: 2567617616 Enrollment ID: O20130221000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Breyanna Grays, MD 6451 N Federal Hwy Ste 800, Fort Lauderdale, FL 33308-1409 Ph: (800) 586-5022 | Breyanna Grays, MD 305 W Jackson St Ste 103, Carbondale, IL 62901 Ph: (618) 351-4972 |
Andrea Loggini, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Dr. Yasoda Modali, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 374 E.grand Ave, Siuc Student Health Center, Carbondale, IL 62901 Phone: 618-453-4346 Fax: 618-453-2347 | |
Dr. Alaa Mohamed Ahmed, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Dr. Simeon Grater, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 35 Albany Rd, Carbondale, IL 62903 Phone: 618-549-4688 | |
Dr. Gerson A Criste, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1390 Hope Dr, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Mostafa Abdul-rahman Farache, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 | |
Ahmed H Jafri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522 |