Mrs Samantha Grimes, DC - Medicare Chiropractor in Fountain City, WI

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Mrs Samantha Grimes, DC is a medicare enrolled "Chiropractor" provider in Fountain City, Wisconsin. Her current practice location is W502 Spur Ln, Fountain City, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 687-1255.

Mrs Samantha Grimes is licensed to practice in Wisconsin (license number 5136-12) 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 1457725285.

Contact Information

Mrs Samantha Grimes, DC
W502 Spur Ln,
Fountain City, WI 54629-7208
(608) 687-1255
(608) 687-1255

Map and Direction




Healthcare Provider's Profile

Full NameMrs Samantha Grimes
GenderFemale
SpecialityChiropractor
LocationW502 Spur Ln, Fountain City, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457725285
  • Provider Enumeration Date: 11/17/2015
  • Last Update Date: 11/17/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8527380757
  • Enrollment ID: I20151124001029

Medical Identifiers

Medical identifiers for Mrs Samantha Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457725285NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 5136-12 (Wisconsin)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. Mrs Samantha Grimes allows following entities to bill medicare on her behalf.
Provider NameFoundations Chiropractic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1750783775
PECOS PAC ID: 8729300959
Enrollment ID: O20141125001396

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. Mrs Samantha 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 AddressPractice Location Address
Mrs Samantha Grimes, DC
W502 Spur Ln,
Fountain City, WI 54629-7208

Ph: (608) 687-1255		Mrs Samantha Grimes, DC
W502 Spur Ln,
Fountain City, WI 54629-7208

Ph: (608) 687-1255

Reviews and Comments


Chiropractor in Fountain City, WI

Kyle William Grimes, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: W502 Spur Ln, Fountain City, WI 54629
Phone: 608-687-1255    Fax: 608-687-1255
Foundations Chiropractic Llc
Chiropractor
Medicare: Medicare Enrolled
Practice Location: W502 Spur Ln, Fountain City, WI 54629
Phone: 815-275-4271    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.