| Patricia A Grayson, NP | |
|
11590 N Meridian St, Ste 300, Carmel, IN 46032-4529 | |
| (317) 948-7450 | |
| (317) 688-5098 |
| Full Name | Patricia A Grayson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 11590 N Meridian St, Carmel, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093808982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 28127287A (Indiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 71002039 (Indiana) | Primary |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Grayson, NP 250 N Shadeland Ave, Ste 130 Provider Enrollment, Indianapolis, IN 46219-4959 Ph: Not Available | Patricia A Grayson, NP 11590 N Meridian St, Ste 300, Carmel, IN 46032-4529 Ph: (317) 948-7450 |
Mrs. Heather M Caul, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13345 Illinois St, Carmel, IN 46032 Phone: 317-396-1300 Fax: 317-352-3417 |
Emma Jo Pierce, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13090 Petigru Dr, Carmel, IN 46032 Phone: 317-733-8608 |
Gaelle Maviluka Bulabula, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13090 Petigru Dr, Carmel, IN 46032 Phone: 317-733-8608 |
Carole E Floyd, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13225 N Meridian St, Carmel, IN 46032 Phone: 317-228-7000 Fax: 317-228-2321 |
Mrs. Margaret K Vanderveen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12289 Hancock St Ste 34, Carmel, IN 46032 Phone: 317-815-8950 Fax: 317-815-8951 |
Sara Elizabeth Brainerd, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10767 Illinois St Ste 1300, Carmel, IN 46032 Phone: 317-528-2298 Fax: 317-528-2779 |
Taylor K Schub, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13420 N Meridian St Ste 400, Carmel, IN 46032 Phone: 317-573-7050 Fax: 317-573-7098 |