Jade Rene Grimes, in Fayetteville, GA - Medicare Occupational Therapist Provider

Jade Rene Grimes, is a medicare enrolled "Occupational Therapist" provider in Fayetteville, Georgia. Her current practice location is 126 Pavilion Pkwy, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 954-8988.

Jade Rene Grimes is licensed to practice in Georgia (license number OT008151) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1144997651.

Contact Information

	Jade Rene Grimes,
	126 Pavilion Pkwy, Fayetteville, GA 30214-4056
	(770) 954-8988
	(404) 393-2447

Map and Direction

Healthcare Provider's Profile

Full Name	Jade Rene Grimes
Gender	Female
Speciality	Occupational Therapist
Location	126 Pavilion Pkwy, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144997651
Provider Enumeration Date: 08/24/2021
Last Update Date: 01/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8729441837
Enrollment ID: I20230822003497

Medical Identifiers

Medical identifiers for Jade Rene Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144997651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT008151 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jade Rene Grimes allows following entities to bill medicare on her behalf.

Provider Name	Neu-level Therapy And Wellness Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1659969848 PECOS PAC ID: 5496161382 Enrollment ID: O20210301000802

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jade Rene Grimes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jade Rene Grimes, 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135 Ph: (855) 324-0885	Jade Rene Grimes, 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 Ph: (770) 954-8988

Reviews and Comments

Occupational Therapist in Fayetteville, GA

Michelle Marie Marchese-deutscher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Lane, Fayetteville, GA 30215 Phone: 770-460-0165
Kelly Nastasi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Howard Ln, Fayetteville, GA 30215 Phone: 770-460-0165
Acts Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 702, Fayetteville, GA 30214 Phone: 678-481-3500
Amanda Searcy, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Wendell Ct, Fayetteville, GA 30215 Phone: 706-975-9602
Amita Agarwal, OTR,CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1336 Highway 54 W, Fayetteville, GA 30214 Phone: 770-461-6142 Fax: 770-461-6610
Jamie Lee Glaze, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Brandywine Blvd, Fayetteville, GA 30214 Phone: 770-460-0165

Jade Rene Grimes, - Medicare Occupational Therapist in Fayetteville, GA