Amos Richard Grim, NP in South Ogden, UT - Medicare Nurse Practitioner

Amos Richard Grim, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Ogden, Utah. His current practice location is 5974 Fashion Point Dr Ste 140, South Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 683-1062.

Amos Richard Grim is licensed to practice in Utah (license number 1180631-8900) 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 1013408806.

Contact Information

	Amos Richard Grim, NP
	5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838
	(801) 683-1062
	(801) 295-5537

Map and Direction

Provider's Profile

Full Name	Amos Richard Grim
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5974 Fashion Point Dr Ste 140, South Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013408806
Provider Enumeration Date: 05/29/2018
Last Update Date: 12/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3072843473
Enrollment ID: I20201223000942

Medical Identifiers

Medical identifiers for Amos Richard Grim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013408806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1180631-8900 (Utah)	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. Amos Richard Grim allows following entities to bill medicare on his behalf.

Entity Name	Neurobehavioral Center For Growth Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942641931 PECOS PAC ID: 4183859622 Enrollment ID: O20131108000961

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

Entity Name	University Of Utah Pediatric Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309

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. Amos Richard Grim 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
Amos Richard Grim, NP 415 Medical Dr Ste D101, Bountiful, UT 84010-8905 Ph: (801) 683-1062	Amos Richard Grim, NP 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403-4838 Ph: (801) 683-1062

Reviews and Comments

Nurse Practitioner Nurses in South Ogden, UT

Lauren Marie Pizarro, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5926 Fashion Point Dr, South Ogden, UT 84403 Phone: 208-899-9996
Niari Anne Mcfarland, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 110, South Ogden, UT 84403 Phone: 801-917-2270
Marie R. Hurst, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5974 Fashion Point Dr Ste 140, South Ogden, UT 84403 Phone: 801-683-1062 Fax: 801-295-5537
Ms. Haileigh Mason, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1893 E Skyline Dr # 104, South Ogden, UT 84403 Phone: 801-529-7005
Ms. Virginia Jean Mol, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 982 Chambers St, South Ogden, UT 84403 Phone: 801-479-4105 Fax: 801-584-2590
Shaylee C Pettit, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5711 S 1475 E Ste 201, South Ogden, UT 84403 Phone: 801-332-9034 Fax: 678-203-9134

Amos Richard Grim, NP - Medicare Nurse Practitioner in South Ogden, UT