| Lisa Marie Grant-mcdonald, DPM | |
|
90 Greenspring Dr, Stafford, VA 22554-1752 | |
| (540) 373-4602 | |
| Not Available |
| Full Name | Lisa Marie Grant-mcdonald |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 12 Years |
| Location | 90 Greenspring Dr, Stafford, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831509942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 0103301228 (Virginia) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006593 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Heart Homecare | Virginia beach, VA | Home health agency |
| Amedisys Home Health Care | Norfolk, VA | Home health agency |
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Careplex Hospital | Hampton, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Foot And Ankle Center Pc | 5496717100 | 2 |
| Provider Name | Tidewater Foot & Ankle Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497813158 PECOS PAC ID: 5496717100 Enrollment ID: O20041103001305 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Grant-mcdonald, DPM 1340 Central Park Blvd Ste 100, Fredericksburg, VA 22401-4940 Ph: () - | Lisa Marie Grant-mcdonald, DPM 90 Greenspring Dr, Stafford, VA 22554-1752 Ph: (540) 373-4602 |
Foot And Ankle Specialists Of The Mid-atlantic Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 945 Garrisonville Rd, Stafford, VA 22556 Phone: 540-720-0700 Fax: 540-720-4449 | |
Virginia Footcare Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554 Phone: 540-720-0674 Fax: 540-720-8044 |