Lance F Grenevicki (NPI# 1255306866, PAC ID# 9032125232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1255306866 |
| PAC ID by PECOS | 9032125232 |
| Professional Enrollment ID | I20060224000640 |
| Full Name | Lance F Grenevicki |
| Address |
1093 S Wickham Rd West Melbourne FL 32904-1652 |
| Gender | M |
| Credential | DDS |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1093 S Wickham Rd, West Melbourne, FL 32904-1652 |
| Street Address |
1093 S WICKHAM RD |
| City | WEST MELBOURNE |
| State | FL |
| Zip | 32904-1652 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose A Vazquez | Ophthalmology | Aggarwal Medical Associates Pa | 232 S Wickham Rd, Melbourne, FL 32904-1123 |
| Karen M Rafferty | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Julie N. Chevillet | Orthopedic Surgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| Ana V Delgado | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Alberto Perez Dimaggio | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Brad E Mccollom | Neurosurgery | Spine and Orthopaedic Specialists of Central Florida LLC | 395 S Wickham Rd, Melbourne, FL 32904-1135 |
| James Ploucha | Anesthesiology | Apollo Anesthesia, Pa | 375 S Wickham Rd, Melbourne, FL 32904-1135 |
| Krishna Vara | General Practice | 395 S Wickham Rd, West Melbourne, FL 32904-1135 | |
| Robert J Kennedy | Diagnostic Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Brian Dunfee | Interventional Radiology | Interventional and Vascular Center Pllc | 415 S Wickham Rd, Melbourne, FL 32904-1137 |
| Find all physicians in zip 32904 | |||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | WEST MELBOURNE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Lance F Grenevicki.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.