Clay Grimes, AG-ACNP in Saint Johns, FL - Medicare Nurse Practitioner

Clay Grimes, AG-ACNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Johns, Florida. His current practice location is 564 Redberry Ln, Saint Johns, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 806-8262.

Clay Grimes is licensed to practice in Florida (license number APRN9349258) 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 1245636471.

Contact Information

	Clay Grimes, AG-ACNP
	564 Redberry Ln, Saint Johns, FL 32259-4807
	(904) 806-8262
	Not Available

Map and Direction

Provider's Profile

Full Name	Clay Grimes
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	564 Redberry Ln, Saint Johns, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245636471
Provider Enumeration Date: 11/17/2014
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4981079159
Enrollment ID: I20230403000065

Medical Identifiers

Medical identifiers for Clay Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245636471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	ARNP9349258 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN9349258 (Florida)	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. Clay Grimes allows following entities to bill medicare on his behalf.

Entity Name	Lindsay Israel, M.d.,p.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730669490 PECOS PAC ID: 1153673686 Enrollment ID: O20181011001612

Entity Name	Tms Neurohealth Florida Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073179123 PECOS PAC ID: 2163854175 Enrollment ID: O20191113001400

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. Clay Grimes 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
Clay Grimes, AG-ACNP 564 Redberry Ln, Saint Johns, FL 32259-4807 Ph: (904) 806-8262	Clay Grimes, AG-ACNP 564 Redberry Ln, Saint Johns, FL 32259-4807 Ph: (904) 806-8262

Reviews and Comments

Nurse Practitioner Nurses in Saint Johns, FL

Mrs. Sherri Annette D'agata, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3472 Babiche St, Saint Johns, FL 32259 Phone: 904-228-5333
Katherine Male, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Saint Johns Commons Rd, Saint Johns, FL 32259 Phone: 866-389-2727
Sabrina Zulqarnain, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 74 Wye Rd, Saint Johns, FL 32259 Phone: 904-460-3491
Robert D Yarbrough, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Celtic Wedding Dr, Saint Johns, FL 32259 Phone: 904-535-0636
Leah M Rose, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259 Phone: 904-824-4407 Fax: 904-390-7459
Jessica Ann Sticken, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 470 Servia Dr, Saint Johns, FL 32259 Phone: 321-720-3507

Clay Grimes, AG-ACNP - Medicare Nurse Practitioner in Saint Johns, FL