| Andrea Tomasek Grimball, PA-C | |
|
27 Medical Center Dr, Jackson, TN 38301-3949 | |
| (731) 424-1001 | |
| Not Available |
| Full Name | Andrea Tomasek Grimball |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 27 Medical Center Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427144997 | NPI | - | NPPES |
| 059051687 | Other | AL | BCBS OF ALABAMA |
| 970023893 | Other | RAILROAD MEDICARE | |
| 291182500 | Medicaid | FL | |
| 009976550 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9101918 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA0000001561 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Tomasek Grimball, PA-C 27 Medical Center Dr, Jackson, TN 38301-3949 Ph: (731) 424-1001 | Andrea Tomasek Grimball, PA-C 27 Medical Center Dr, Jackson, TN 38301-3949 Ph: (731) 424-1001 |
Adam Boyd Vaughn, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Morgan Janae Mason, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Mrs. Stephanie R Little, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2863 Highwy 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0410 | |
Erick Stafford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1695 Fax: 731-240-1694 | |
Lauren Schultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-201-2798 | |
Dalton Glenn Weaver, Physician Assistant Medicare: Medicare Enrolled Practice Location: 708 N Highland Ave, Jackson, TN 38301 Phone: 731-394-0071 | |
Akacyea Nycole Deck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297 |