| Nicholas Grillo, MD | |
|
35 Medical Center Pkwy, Augusta, ME 04330-8160 | |
| (207) 248-5000 | |
| (207) 626-1648 |
| Full Name | Nicholas Grillo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 35 Medical Center Pkwy, Augusta, Maine |
| 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 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 248-5000 | Nicholas Grillo, MD 35 Medical Center Pkwy, Augusta, ME 04330-8160 Ph: (207) 248-5000 |
Steven Moss, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-626-1000 | |
John R Joseph, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 E Chestnut St, Augusta, ME 04330 Phone: 207-626-1303 | |
Taylor Klein, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-248-5000 | |
Emory Elizabeth Liscord, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Medical Center Pkwy, Augusta, ME 04330 Phone: 207-248-5000 Fax: 207-626-1648 | |
Dr. Terrence W Flanagan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 E Chestnut St, Mainegeneral Medical Center, Augusta, ME 04330 Phone: 207-626-1303 Fax: 207-626-1648 | |
Dr. Douglas Robert Wood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Whitten Rd, Augusta, ME 04330 Phone: 207-466-2400 |