| Lance A Grizzard, CRNA | |
|
8260 Atlee Rd, Mechanicsville, VA 23116-1844 | |
| (804) 288-6258 | |
| (804) 282-9921 |
| Full Name | Lance A Grizzard |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 8260 Atlee Rd, Mechanicsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104814516 | NPI | - | NPPES |
| 010163188 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001154508 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024166429 (Virginia) | Primary |
| Entity Name | Gastrointestinal Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063516672 PECOS PAC ID: 5294797957 Enrollment ID: O20041103001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Lance A Grizzard, CRNA 3100 Spring Forest Rd Ste 130, Raleigh, NC 27616-2880 Ph: (888) 280-9533 | Lance A Grizzard, CRNA 8260 Atlee Rd, Mechanicsville, VA 23116-1844 Ph: (804) 288-6258 |
Loree Beth Martin, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-282-8082 |
Melissa I Sherrod, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000 |
Mason Everett Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000 |
Japtejvir Singh Brar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-288-6258 Fax: 804-673-1038 |
Meghan E Dexter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000 |
Rachel Elizabeth Bowker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000 |
Graham John Andrist, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8260 Atlee Rd, Mechanicsville, VA 23116 Phone: 804-764-6000 |