| Prabhjot Grewal, | |
|
677 E Main St, Centreville, MI 49032-8524 | |
| (269) 467-1000 | |
| Not Available |
| Full Name | Prabhjot Grewal |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 677 E Main St, Centreville, Michigan |
| 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 |
|---|---|---|---|
| 1578105334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704352068 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Three Rivers Health | Three rivers, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Mental Health Services Of St Joseph County | 9032178496 | 15 |
| Entity Name | Family Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811065576 PECOS PAC ID: 1759370216 Enrollment ID: O20040510000899 |
| Entity Name | Community Mental Health Services Of St Joseph County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366438483 PECOS PAC ID: 9032178496 Enrollment ID: O20041011000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Prabhjot Grewal, 677 E Main St, Centreville, MI 49032-8524 Ph: (269) 467-1000 | Prabhjot Grewal, 677 E Main St, Centreville, MI 49032-8524 Ph: (269) 467-1000 |
Samantha Jo Moody, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 658 E Main St, Centreville, MI 49032 Phone: 269-467-3228 | |
Mrs. Abigail Workman, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 658 E Main St, Centreville, MI 49032 Phone: 269-467-3228 | |
Karen Ann Newsome, RN, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 677 E Main St, Centreville, MI 49032 Phone: 269-467-1000 |