Dr Bennett Douglas Grimm, MD | |
61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | |
(770) 422-3290 | |
(770) 422-0287 |
Full Name | Dr Bennett Douglas Grimm |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 18 Years |
Location | 61 Whitcher St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891877742 | NPI | - | NPPES |
003136592A | Medicaid | GA | |
003136592C | Medicaid | GA | |
003136592B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2012-00860 (North Carolina) | Secondary |
207X00000X | Orthopaedic Surgery | 068525 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Resurgens, Llc | 1153224142 | 148 |
Entity Name | Resurgens, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Bennett Douglas Grimm, MD 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 Ph: (770) 422-3290 | Dr Bennett Douglas Grimm, MD 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 Ph: (770) 422-3290 |
Dr. Jeffrey Alan Wener, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2520 Windy Hill Rd Se, Suite 202, Marietta, GA 30067 Phone: 770-953-0900 Fax: 770-952-0492 | |
Dr. John M Pinski, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Whitcher St Ne Ste 1100, Marietta, GA 30060 Phone: 770-422-3290 Fax: 770-422-0287 | |
Dr. Ethan Wesley Dean, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 620 Cherokee St Ne Ste 300, Marietta, GA 30060 Phone: 770-635-1812 Fax: 770-485-2883 | |
David Lee Smith Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 130, Marietta, GA 30060 Phone: 770-428-0462 Fax: 770-427-8001 | |
Dr. Joe Leonard Hughes, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4981 Lake Fjord Pass, Marietta, GA 30068 Phone: 770-992-1589 | |
Dr. Richard W Cohen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060 Phone: 770-422-3290 Fax: 770-422-0287 | |
Clarence Lyn Crooms, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3823 Roswell Rd, Suite 202, Marietta, GA 30062 Phone: 770-579-8558 Fax: 770-973-1934 |