David M Grace (NPI# 1225030588, PAC ID# 5597708339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1225030588 |
| PAC ID by PECOS | 5597708339 |
| Professional Enrollment ID | I20050602001094 |
| Full Name | David M Grace |
| Organization Legal Name | ST. MARTIN PHYSICIAN SERVICES LLC |
| Address |
210 Champagne Blvd Breaux Bridge LA 70517-3700 |
| Phone Number | 3373322178 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446495410 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 191302 | ST MARTIN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 | 3373322178 | ST. MARTIN PHYSICIAN SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | ST. MARTIN PHYSICIAN SERVICES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Del C Martinez | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Rajachendra S Tumma | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Ariadne A Gauthier | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Amanda M Lacomb | Family Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brady K Guillory | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Chad N Heinen | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Street Address |
210 CHAMPAGNE BLVD |
| City | BREAUX BRIDGE |
| State | LA |
| Zip | 70517-3700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Del C Martinez | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Shane M Durkes | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Rajachendra S Tumma | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Ariadne A Gauthier | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Amanda M Lacomb | Family Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brady K Guillory | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Lindsay B Hymel | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Christopher J Matt | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brandon Scott Ammon | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Aaron M Foster | Family Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Srinivasa Yerasi | Pediatric Medicine | Pediatric Group of Acadiana, LLC | 555 Lakes Blvd, Breaux Bridge, LA 70517-3240 |
| Garett P Thibodeaux | Optometry | 1525 E Bridge St, Breaux Bridge, LA 70517-3401 | |
| Jaime M Cordova | Internal Medicine | 1442 E Bridge St, Breaux Bridge, LA 70517-3406 | |
| Eric Elias | Obstetrics/gynecology | 1546 Gary Dr, Breaux Bridge, LA 70517-3447 | |
| Luris M Sanchez | Family Medicine | St Martin Hospital Inc | 1555 Gary Dr, Suite A, Breaux Bridge, LA 70517-3448 |
| Anthony I Blanchard | Podiatry | 1555 Gary Dr, Breaux Bridge, LA 70517-3448 | |
| Israel Wootton | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Brandon J Mong | Emergency Medicine | St Martin Emergency Group LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Chad N Heinen | Internal Medicine | St. Martin Physician Services LLC | 210 Champagne Blvd, Breaux Bridge, LA 70517-3700 |
| Caroline D White | Nurse Practitioner | St Martin Hospital Inc | 225 Champagne Blvd, Breaux Bridge, LA 70517-3733 |
| Find all physicians in zip 70517 | |||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BREAUX BRIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David M Grace.
| 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.