407 POTTER ST STE A
FALLBROOK, CA 92028-3086 US PECOS Enrolled
Grigoriy N Patish
Podiatrist (Primary Medicine)
- FALLBROOK, CA
- Phone: (760)-728-4800
- Last Updated 3/31/2021
Overview
Grigoriy N Patish is a Podiatrist (Primary Medicine) in the FALLBROOK area and has over 22 years of experience. Grigoriy N Patish primary office location is at 407 POTTER ST STE A and new patients are welcome to contact this healthcare provider for an appointment. He attended New York College Of Podiatric Medicine and graduated 2002 The NPI number is 1609817535 and the information was updated approximately 3 years ago.
Grigoriy N Patish is affiliated with one medical group in the FALLBROOK area, GRACE TING DPM INC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 25MD00298800 | NJ |
| E4987 | CA |
| N005980 | NY |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 02639412 | NY |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120913000318 |
| PECOS Individual PAC ID: | 6709778616 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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