Jessica Leigh Grim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mill City, Oregon. Her current practice location is
280 S 1st Ave, Mill City, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 897-4100.
Jessica Leigh Grim is licensed to practice in Oregon (license number 10021457) 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 1568225738.
Provider's Profile
Full Name | Jessica Leigh Grim |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 280 S 1st Ave, Mill City, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568225738
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709225816
- Enrollment ID: I20240422001239
Medical Identifiers
Medical identifiers for Jessica Leigh Grim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568225738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 10021457 (Oregon) | 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. Jessica Leigh Grim allows following entities to bill medicare on her behalf.
Entity Name | Santiam Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912178823 PECOS PAC ID: 6103729751 Enrollment ID: O20040130000239 |
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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. Jessica Leigh 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 |
Jessica Leigh Grim, FNP 41350 Sunset Way Se, Stayton, OR 97383-9710 Ph: (503) 560-2859 | Jessica Leigh Grim, FNP 280 S 1st Ave, Mill City, OR 97360-2324 Ph: (503) 897-4100 |
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