Dr Judith Bynum Grimm, MD | |
4600 Rogers Ave, Fort Smith, AR 72903-3149 | |
(479) 494-7443 | |
Not Available |
Full Name | Dr Judith Bynum Grimm |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 4600 Rogers Ave, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194776344 | NPI | - | NPPES |
030477389 | Other | LA | HUMANA |
030477389 | Other | LA | BEST CARE NETWORK |
030477389 | Other | LA | UNITED HEALTHCARE |
1438154 | Medicaid | LA | |
030477389 | Other | LA | HUMANA MILITARY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.14759R (Louisiana) | Secondary |
207Q00000X | Family Medicine | E-9002 (Arkansas) | Primary |
Entity Name | Christus Health Central Louisiana |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497895130 PECOS PAC ID: 4688570955 Enrollment ID: O20070615000135 |
Mailing Address | Practice Location Address |
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Dr Judith Bynum Grimm, MD 464847 E 1098 Rd, Sallisaw, OK 74955-5320 Ph: (318) 794-9937 | Dr Judith Bynum Grimm, MD 4600 Rogers Ave, Fort Smith, AR 72903-3149 Ph: (479) 494-7443 |
Dr. Thomas Michael Hillis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6248 Fax: 479-314-6159 | |
Dr. David B Sills, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Mcclure Dr # 203, Fort Smith, AR 72916 Phone: 792-422-5774 Fax: 479-434-5987 | |
Dr. Brian H Rodgers, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Audra M Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3808 South Gary, Fort Smith, AR 72903 Phone: 479-709-7120 Fax: 479-709-7123 | |
Dr. Jessiela Venis Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 S 12th St, Fort Smith, AR 72901 Phone: 479-785-2431 Fax: 479-785-0732 | |
Dr. Allen L Beachy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cliff Dr, Fort Smith, AR 72903 Phone: 479-259-9286 | |
Dr. Thomas E Cheyne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-6700 Fax: 479-709-6751 |