GRAYSON BASTIN DO
NPI 1073242137
Student in an Organized Health Care Education/Training Program in Lansing, MI

Active since June 06, 2022PECOS Enrolled
2900 COLLINS RD, LANSING, MI 48910(517) 975-6000 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grayson Bastin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAYSON BASTIN DO (NPI 1073242137) is an individual student in an organized health care education/training program in Lansing, Michigan, licensed in Michigan (5151015495) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073242137
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRAYSON BASTINCredential: DO
Location Address2900 COLLINS RDLansing, MI 48910-8394
Mailing Address2900 Collins RdLansing, MI 48910-8394 · (517) 975-6000
Sole ProprietorNo
Enumeration DateJune 6, 2022
NPPES CertifiedJune 6, 2022
NPI 1073242137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 5151015495
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2900 COLLINS RD, Lansing, MI 48910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grayson Bastin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2900 COLLINS RD
LANSING, MI 48910
Psychiatric Unit
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910
Student in an Organized Health Care Education/Training Program
2900 COLLINS RD
LANSING, MI 48910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073242137, enumerated as an "individual" on June 06, 2022.

The provider is located at 2900 COLLINS RD LANSING, MI 48910 and the phone number is (517) 975-6000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.