Ellen M Grimm, MD | |
1330 Wonder World Dr, San Marcos, TX 78666-7566 | |
(512) 805-0680 | |
(512) 805-0682 |
Full Name | Ellen M Grimm |
---|---|
Gender | Female |
Speciality | Nephrology |
Experience | 32 Years |
Location | 1330 Wonder World Dr, San Marcos, Texas |
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 |
---|---|---|---|
1275500100 | NPI | - | NPPES |
101802002 | Medicaid | TX | |
390007009 | Other | TX | RAILROAD MEDICARE |
101802004 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | J4170 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Nna San Marcos | San marcos, TX | Dialysis facility |
Bio-medical Applications Of Texas, Inc. | Kyle, TX | Dialysis facility |
Christus Santa Rosa Hospital-san Marcos | San marcos, TX | Hospital |
St David's South Austin Medical Center | Austin, TX | Hospital |
Ascension Seton Hays | Kyle, TX | Hospital |
St David's Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Austin Diagnostic Clinic, Pllc | 1254244551 | 88 |
Entity Name | The Austin Diagnostic Clinic, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003259763 PECOS PAC ID: 1254244551 Enrollment ID: O20031112000236 |
Mailing Address | Practice Location Address |
---|---|
Ellen M Grimm, MD 12221 N Mopac Expy, Austin, TX 78758-2401 Ph: (512) 805-0680 | Ellen M Grimm, MD 1330 Wonder World Dr, San Marcos, TX 78666-7566 Ph: (512) 805-0680 |
Lance Monteau, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1290 Wonder World Dr Ste 1100, San Marcos, TX 78666 Phone: 512-393-3325 Fax: 512-393-3328 | |
Dr. William K Deschner, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 200, San Marcos, TX 78666 Phone: 512-754-8676 Fax: 512-754-8680 | |
Frederick Earl Dixon, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 326 N Lbj Dr Ste 104, San Marcos, TX 78666 Phone: 512-572-1033 | |
Dr. Maria De Jesus Salinas, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1340 Wonder World Dr Ste 2203, San Marcos, TX 78666 Phone: 512-667-7123 Fax: 512-667-7328 | |
Jose Mario Ayala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Carlos Enrique Zamora, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2800 Airport, Hwy 21, San Marcos, TX 78666 Phone: 512-396-6513 | |
Dr. Carlos Neghme, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 200, San Marcos, TX 78666 Phone: 512-754-8676 Fax: 512-754-8680 |