| Anthony Michael Grilliot, CRNA | |
|
1001 Bellefontaine Ave, Lima, OH 45804-2800 | |
| (419) 228-3335 | |
| Not Available |
| Full Name | Anthony Michael Grilliot |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 1001 Bellefontaine Ave, Lima, Ohio |
| 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 |
|---|---|---|---|
| 1659898211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.345017 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.019559 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Orthopaedic Hospital At Parkview North Llc | Fort wayne, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cable Sleep Llc | 2567892268 | 4 |
| Surgery One Anesthesia Llc | 8820351463 | 28 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226 |
| Entity Name | Cable Sleep Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487293866 PECOS PAC ID: 2567892268 Enrollment ID: O20200421000922 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Michael Grilliot, CRNA 1825 Barnhart Rd, Troy, OH 45373-9589 Ph: (937) 552-9420 | Anthony Michael Grilliot, CRNA 1001 Bellefontaine Ave, Lima, OH 45804-2800 Ph: (419) 228-3335 |
Mr. Charles Joseph Bouis Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-222-0328 | |
Mr. Storm Wayne Sharp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 Fax: 419-228-3352 | |
Timothy Keener, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2923 Lilly Dr, Lima, OH 45807 Phone: 419-909-1001 | |
Jarrod Genther, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary Kay Woolsey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Mr. Adam Reidenbach, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 730 W Market Street, Lima, OH 45801 Phone: 419-227-3361 | |
Ms. Mary A Schmidt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 121 W High St # 5, Lima, OH 45801 Phone: 419-998-4573 |