Dr Gwen M Grimsby, MD | |
5779 E Mayo Blvd, Phoenix, AZ 85054-4502 | |
(480) 301-8000 | |
Not Available |
Full Name | Dr Gwen M Grimsby |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 16 Years |
Location | 5779 E Mayo Blvd, Phoenix, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740448703 | NPI | - | NPPES |
450344 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 42236 (Arizona) | Primary |
2088P0231X | Urology - Pediatric Urology | 42236 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoenix Children's Hospital | 0446278584 | 311 |
Entity Name | Phoenix Children's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
---|---|
Dr Gwen M Grimsby, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 | Dr Gwen M Grimsby, MD 5779 E Mayo Blvd, Phoenix, AZ 85054-4502 Ph: (480) 301-8000 |
Dr. Donald E Novicki, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Scott K Swanson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Robert B. Bailey Jr., M.D. Urology Medicare: Medicare Enrolled Practice Location: 1920 E Cambridge Ave, Suite 302, Phoenix, AZ 85006 Phone: 602-279-1697 Fax: 602-264-0461 | |
Dr. Ryan James Powers, DO Urology Medicare: Accepting Medicare Assignments Practice Location: 33300 N 32nd Ave Ste 201, Phoenix, AZ 85085 Phone: 602-264-0608 | |
Dr. Christopher James Joseph Martin, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5133 N Central Ave Ste 206, Phoenix, AZ 85012 Phone: 602-264-0608 Fax: 602-234-0417 | |
Dr. Robert G Ferrigni, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 | |
Dr. Mitchell R Humphreys, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 |