Archer E Grimley, MD in Las Vegas, NV - Medicare Family Medicine

Archer E Grimley, MD is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. Her current practice location is 1820 E Sahara Ave Ste 201, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 979-1111.

Archer E Grimley is licensed to practice in Nevada (license number 26522) 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 1043896806.

Contact Information

	Archer E Grimley, MD
	1820 E Sahara Ave Ste 201, Las Vegas, NV 89104-3721
	(702) 979-1111
	(702) 979-6227

Map and Direction

Physician's Profile

Full Name	Archer E Grimley
Gender	Female
Speciality	Family Medicine
Location	1820 E Sahara Ave Ste 201, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043896806
Provider Enumeration Date: 03/22/2021
Last Update Date: 12/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2163954017
Enrollment ID: I20241016002092

Medical Identifiers

Medical identifiers for Archer E Grimley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043896806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	26522 (Nevada)	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. Archer E Grimley allows following entities to bill medicare on her behalf.

Entity Name	Can Community Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104829274 PECOS PAC ID: 6305883133 Enrollment ID: O20240619001478

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. Archer E Grimley 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
Archer E Grimley, MD Po Box 1000 Dept 394, Memphis, TN 38148-0001 Ph: (941) 300-4440	Archer E Grimley, MD 1820 E Sahara Ave Ste 201, Las Vegas, NV 89104-3721 Ph: (702) 979-1111

Reviews and Comments

Family Medicine Doctors in Las Vegas, NV

Patricia May B. Lacsina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-877-5199
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Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451
Frederick J Lippmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570
Dr. Constance Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212
Dr. Chad Robinson Black, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470

Archer E Grimley, MD - Medicare Family Medicine in Las Vegas, NV