Ryan Timothy Grimm, MD in Fort Wayne, IN

Ryan Timothy Grimm, MD is a medicare enrolled "Pediatrics" physician in Fort Wayne, Indiana. His current practice location is 1818 Carew St Ste 320, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 373-5890.

Ryan Timothy Grimm is licensed to practice in Indiana (license number 01071541A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497072532.

Contact Information

	Ryan Timothy Grimm, MD
	1818 Carew St Ste 320, Fort Wayne, IN 46805-4764
	(260) 373-5890
	(260) 422-8444

Map and Direction

Physician's Profile

Full Name	Ryan Timothy Grimm
Gender	Male
Speciality	Pediatrics
Location	1818 Carew St Ste 320, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497072532
Provider Enumeration Date: 04/29/2010
Last Update Date: 03/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7517100886
Enrollment ID: I20130905000779

Medical Identifiers

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

Identifier	Type	State	Issuer
1497072532	NPI	-	NPPES
201095340	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01071541A (Indiana)	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. Ryan Timothy Grimm allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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. Ryan Timothy 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
Ryan Timothy Grimm, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Ryan Timothy Grimm, MD 1818 Carew St Ste 320, Fort Wayne, IN 46805-4764 Ph: (260) 373-5890

Reviews and Comments

Pediatrics Doctors in Fort Wayne, IN

Dr. Melissa S Rice, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 Phone: 260-672-6443 Fax: 260-672-6459
Vaneska Bottino Da Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-435-7001 Fax: 260-435-9763
Ronald R Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1717 S Calhoun St, Fort Wayne, IN 46802 Phone: 260-458-2641 Fax: 260-969-0007
Mrs. Lindsay M Ligler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2810 Dupont Commerce Ct, Fort Wayne, IN 46825 Phone: 260-490-7337
Osita Victor Ezeakudo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2510 E Dupont Rd, Suite 200, Fort Wayne, IN 46825 Phone: 260-432-4913 Fax: 260-969-6832
Dr. Michael Philip Dick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3898 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-5750 Fax: 260-425-5755
Pamela Thomas, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 W Jefferson Blvd, Suite 210, Fort Wayne, IN 46804 Phone: 260-432-2297 Fax: 260-434-6420

Ryan Timothy Grimm, MD - Medicare Pediatrics in Fort Wayne, IN