| Lisa Grove, | |
|
111 Clara Barton St, Dansville, NY 14437-9503 | |
| (585) 335-2296 | |
| Not Available |
| Full Name | Lisa Grove |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 111 Clara Barton St, Dansville, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891163408 | NPI | - | NPPES |
| 04272184 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN11020189 (Florida) | Secondary |
| 367A00000X | Advanced Practice Midwife | 001703 (New York) | Primary |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Strong Obstetrics-gynecology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184668311 PECOS PAC ID: 2860382926 Enrollment ID: O20040319001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Grove, 601 Elmwood Ave Box 668, Rochester, NY 14642-0001 Ph: () - | Lisa Grove, 111 Clara Barton St, Dansville, NY 14437-9503 Ph: (585) 335-2296 |
Jasmine S Mclay, MSNCNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 253 Main St, Dansville, NY 14437 Phone: 585-335-8896 | |
Brooke Elizabeth Sikes, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 253 Main St, Dansville, NY 14437 Phone: 585-335-2296 Fax: 585-335-2299 |