Dr Leander M Grimm, MD | |
401 Southcrest Circle, Suite 204, Southaven, MS 38671 | |
(662) 349-0311 | |
(662) 349-0121 |
Full Name | Dr Leander M Grimm |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 39 Years |
Location | 401 Southcrest Circle, Southaven, Mississippi |
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 |
---|---|---|---|
1598877805 | NPI | - | NPPES |
3726800 | Medicaid | TN | |
00111800 | Medicaid | MS | |
4091934 | Other | TN | BCBS TN PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 12705 (Mississippi) | Primary |
208600000X | Surgery | 20507 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Memorial Medical Group, Inc. | 5193610228 | 432 |
Entity Name | Baptist Memorial Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028 |
Mailing Address | Practice Location Address |
---|---|
Dr Leander M Grimm, MD Po Box 405827, Atlanta, GA 30384-5827 Ph: () - | Dr Leander M Grimm, MD 401 Southcrest Circle, Suite 204, Southaven, MS 38671 Ph: (662) 349-0311 |
Dr. Jason Wayne Hindman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 662-349-0311 Fax: 662-349-0121 | |
Alyssa Jameson Wier, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir Ste 201, Southaven, MS 38671 Phone: 662-349-0311 Fax: 662-349-0121 | |
Dr. Jacqueline Anne Majors, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7601 Southcrest Pkwy, Southaven, MS 38671 Phone: 901-226-4910 Fax: 901-226-4915 | |
Karan Kamal Bath, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir Ste 210, Southaven, MS 38671 Phone: 662-526-1944 Fax: 662-536-1947 | |
Daniel B Fore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 401 Southcrest Cir, Suite 210, Southaven, MS 38671 Phone: 662-536-1944 Fax: 662-536-1947 | |
Dr. James Everett Fortune, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7580 Clarington Cv, Southaven, MS 38671 Phone: 662-349-1940 Fax: 662-349-3212 |