| Tori Brooke Grenade, MD | |
|
821 Plaza Ave, Eastman, GA 31023-6757 | |
| (478) 220-5545 | |
| (478) 220-5509 |
| Full Name | Tori Brooke Grenade |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 821 Plaza Ave, Eastman, Georgia |
| 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 |
|---|---|---|---|
| 1407233372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 83844 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 83844 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Three Rivers Home Health Services, Inc | Eastman, GA | Home health agency |
| Houston Medical Center | Warner robins, GA | Hospital |
| Dodge County Hospital | Eastman, GA | Hospital |
| Fairview Park Hospital | Dublin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Houston Hospitals Inc | 4284797580 | 29 |
| Eastman Medical Clinic Llc | 1456709948 | 2 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | Dodge County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740272095 PECOS PAC ID: 1759372733 Enrollment ID: O20040519000764 |
| Entity Name | Houston Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
| Entity Name | Eastman Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134908098 PECOS PAC ID: 1456709948 Enrollment ID: O20231121003451 |
| Mailing Address | Practice Location Address |
|---|---|
| Tori Brooke Grenade, MD 821 Plaza Ave, Eastman, GA 31023-6757 Ph: (478) 220-5545 | Tori Brooke Grenade, MD 821 Plaza Ave, Eastman, GA 31023-6757 Ph: (478) 220-5545 |
Dr. Habigaile Cribe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Plaza Ave, Suite B, Eastman, GA 31023 Phone: 478-374-5582 Fax: 478-374-3756 | |
James Harmon Tison, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1085 Plaza Ave Ste B, Eastman, GA 31023 Phone: 478-374-5582 Fax: 478-374-3756 | |
Mr. Donald Anthony Selph Jr., MD FACP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Plaza Avenue, Suite D, Eastman, GA 31023 Phone: 478-374-5544 Fax: 478-374-0608 | |
Dr. Michelle Dee Cravey, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 718 Griffin Ave, Eastman, GA 31023 Phone: 478-374-1130 Fax: 478-374-1093 |