| Nicholas Grillo, MD | |
|
120 Hobart St, Utica, NY 13501-4308 | |
| (315) 801-1149 | |
| (315) 801-3565 |
| Full Name | Nicholas Grillo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 120 Hobart St, Utica, New York |
| 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 |
|---|---|---|---|
| 1649767450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 72549 (Connecticut) | Primary |
| 207Q00000X | Family Medicine | MD24449 (Maine) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Memorial Hospital | Stafford springs, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health Of New England Provider Network Organization Inc | 0941113567 | 613 |
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Nes Medical Services Of Northern Connecticut, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700681202 PECOS PAC ID: 6608056171 Enrollment ID: O20250319001262 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Grillo, MD 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 Ph: (860) 684-4251 | Nicholas Grillo, MD 120 Hobart St, Utica, NY 13501-4308 Ph: (315) 801-1149 |
Paul F Palumbo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Broad St, Utica, NY 13501 Phone: 315-271-9346 Fax: 315-507-2449 | |
Ashesh Shrestha, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Hospital Dr, Utica, NY 13502 Phone: 315-917-9966 | |
Chaille Mintah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Hobart St, Residency Program, Utica, NY 13501 Phone: 315-801-1149 Fax: 315-801-3565 | |
Afsar Ali Khan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-798-8111 Fax: 315-734-3158 | |
Dr. Etan Edward Eitches, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-801-8100 | |
John Rubin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-798-8100 | |
Dr. Juleen Jandali Qandah, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1676 Sunset Ave, Utica, NY 13502 Phone: 315-624-5226 |