Krista Grimm, MD in El Segundo, CA

Krista Grimm, MD is a medicare enrolled "Pediatrics" physician in El Segundo, California. Her current practice location is 483 N Aviation Blvd Bldg 210, 61 Mds/sgoc, El Segundo, California. You can reach out to her office (for appointments etc.) via phone at (310) 653-2873.

Krista Grimm is licensed to practice in California (license number A102892) 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 1093944571.

Contact Information

	Krista Grimm, MD
	483 N Aviation Blvd Bldg 210, 61 Mds/sgoc, El Segundo, CA 90245-2808
	(310) 653-2873
	Not Available

Map and Direction

Physician's Profile

Full Name	Krista Grimm
Gender	Female
Speciality	Pediatrics
Location	483 N Aviation Blvd Bldg 210, El Segundo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093944571
Provider Enumeration Date: 07/06/2009
Last Update Date: 11/04/2021

Medicare PECOS Information:

PECOS PAC ID: 5193944403
Enrollment ID: I20140918002698

Medical Identifiers

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

Identifier	Type	State	Issuer
1093944571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A102892 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krista Grimm allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Krista 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
Krista Grimm, MD 300 Old River Rd, Suite 125, Bakersfield, CA 93311-9503 Ph: () -	Krista Grimm, MD 483 N Aviation Blvd Bldg 210, 61 Mds/sgoc, El Segundo, CA 90245-2808 Ph: (310) 653-2873

Reviews and Comments

Pediatrics Doctors in El Segundo, CA

Dr. Syed G Mohiuddin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873
Dr. Elena Del Refugio Ruiz-rios, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 740 S Allied Way Ste D, El Segundo, CA 90245 Phone: 310-500-2045
Debra Linda Tang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245 Phone: 310-653-6679 Fax: 310-653-6453
Dr. Stephanie Mae Lampke, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 483 N Aviation Blvd, El Segundo, CA 90245 Phone: 310-653-2873
Dr. Leonard S Sender, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2040 E Mariposa Ave, El Segundo, CA 90245 Phone: 213-266-5600

Krista Grimm, MD - Medicare Pediatrics in El Segundo, CA