Dr Anthony M Grimaldi, DO is a medicare enrolled "Urology" physician in Olympia Fields, Illinois. His current practice location is
20201 Crawford Ave, Suite 1276, Olympia Fields, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 679-2270.
Dr Anthony M Grimaldi is licensed to practice in Illinois (license number 036053826) 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 1811048812.
Physician's Profile
| Full Name | Dr Anthony M Grimaldi |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 20201 Crawford Ave, Olympia Fields, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811048812
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 12/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1456403260
- Enrollment ID: I20100714000121
Medical Identifiers
Medical identifiers for Dr Anthony M Grimaldi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811048812 | NPI | - | NPPES |
| BLUE CROSS BLUE SHIE | Other | IL | 21626252 |
| 203979055 | Other | IL | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 036053826 (Illinois) | 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. Dr Anthony M Grimaldi allows following entities to bill medicare on his behalf.
| Entity Name | Anthony M Grimaldi, Do Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982755997
PECOS PAC ID: 2860524634
Enrollment ID: O20100714000061 |
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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. Dr Anthony M Grimaldi 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 |
|---|
Dr Anthony M Grimaldi, DO
1040 Sierra Dr, Suite 400,
Greenwood, IN 46143-7240
Ph: (317) 528-4253 | Dr Anthony M Grimaldi, DO
20201 Crawford Ave, Suite 1276,
Olympia Fields, IL 60461-1010
Ph: (708) 679-2270 |
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