Erica Marie Grimm, DO in Fort Leonard Wood, MO

Erica Marie Grimm, DO is a medicare enrolled "Pediatrics" physician in Fort Leonard Wood, Missouri. Her current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 596-1766.

Erica Marie Grimm is licensed to practice in Nebraska (license number 2105) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346746419.

Contact Information

	Erica Marie Grimm, DO
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-1766
	Not Available

Map and Direction

Physician's Profile

Full Name	Erica Marie Grimm
Gender	Female
Speciality	Pediatrics
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346746419
Provider Enumeration Date: 04/05/2018
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5092113175
Enrollment ID: I20211004001494

Medical Identifiers

Medical identifiers for Erica Marie Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346746419	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2105 (Nebraska)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erica Marie Grimm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Erica Marie Grimm, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1330	Erica Marie Grimm, DO 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-1766

Reviews and Comments

Pediatrics Doctors in Fort Leonard Wood, MO

Andrea Stephenson, Pediatrics Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 808-735-9617
Egberto Toro, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Attn: Mcxp-ccs-cr (credentials), Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Dr. Elena A Rostapshova, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Dr. Roman Oleh Bilynsky, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 126 Missouri Avenue, Glwach - Attn: Credentials Office, Fort Leonard Wood, MO 65473 Phone: 573-596-0415 Fax: 573-596-0524
Dr. Thomas E Ellwood, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Nicholas Clark, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 800-874-2273

Erica Marie Grimm, DO - Medicare Pediatrics in Fort Leonard Wood, MO