Mr Jack Siler Grimes Jr, LCSW in Portsmouth, VA - Medicare Social Worker Provider

Mr Jack Siler Grimes Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Portsmouth, Virginia. His current practice location is 15 Davis St, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 238-2038.

Mr Jack Siler Grimes Jr is licensed to practice in Virginia (license number 0904000386) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467511295.

Contact Information

	Mr Jack Siler Grimes Jr, LCSW
	15 Davis St, Portsmouth, VA 23702-3021
	(757) 238-2038
	(757) 238-2038

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jack Siler Grimes Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	15 Davis St, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467511295
Provider Enumeration Date: 12/07/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 3678961810
Enrollment ID: I20211021000169

Medical Identifiers

Medical identifiers for Mr Jack Siler Grimes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467511295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904000386 (Virginia)	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. Mr Jack Siler Grimes Jr allows following entities to bill medicare on his behalf.

Entity Name	Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689246118 PECOS PAC ID: 0446648687 Enrollment ID: O20211021000342

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. Mr Jack Siler Grimes Jr 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
Mr Jack Siler Grimes Jr, LCSW 9016 River Cres, Suffolk, VA 23433-1304 Ph: (757) 238-2038	Mr Jack Siler Grimes Jr, LCSW 15 Davis St, Portsmouth, VA 23702-3021 Ph: (757) 238-2038

Reviews and Comments

Social Worker in Portsmouth, VA

Kenneth L Labasky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737
Mrs. Willar Mae Baum, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9767 Fax: 757-953-9995
Mrs. Ashley Irene Dyke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2817
Mr. Frederick Arthur Noble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3810 High St, Portsmouth, VA 23707 Phone: 757-433-2529 Fax: 757-433-2472
J. Kellie Young Evans, LCSW,CSTOP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1805 Airline Blvd, Portsmouth, VA 23707 Phone: 757-397-2121 Fax: 757-399-3316
Ms. Patricia Anne Peters, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Social Work Department, Portsmouth, VA 23708 Phone: 757-953-5008
Mary Baumgartner Levner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Riverview Ave, Portsmouth, VA 23704 Phone: 515-231-8118

Mr Jack Siler Grimes Jr, LCSW - Medicare Clinical Social Worker in Portsmouth, VA