Loretta C Grimm, FNP in North Conway, NH - Medicare Nurse Practitioner

Loretta C Grimm, FNP is a medicare enrolled "Nurse Practitioner" in North Conway, New Hampshire. Her current practice location is 3073 White Mountain Hwy, Diabetes Center At Memorial Hospital, North Conway, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 356-0796.

Loretta C Grimm is licensed to practice in New Hampshire (license number 053177-23) 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 1558321844.

Contact Information

	Loretta C Grimm, FNP
	3073 White Mountain Hwy, Diabetes Center At Memorial Hospital, North Conway, NH 03860-7101
	(603) 356-0796
	(603) 356-3257

Map and Direction

Provider's Profile

Full Name	Loretta C Grimm
Gender	Female
Speciality	Nurse Practitioner
Location	3073 White Mountain Hwy, North Conway, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558321844
Provider Enumeration Date: 03/23/2006
Last Update Date: 05/08/2013

Medicare PECOS Information:

PECOS PAC ID: 0244219673
Enrollment ID: I20050106000992

Medical Identifiers

Medical identifiers for Loretta C Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558321844	NPI	-	NPPES
110083358A	Medicaid	MA
30342936	Medicaid	NH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN275756 (Massachusetts)	Secondary
363L00000X	Nurse Practitioner	053177-23 (New Hampshire)	Primary
163WD0400X	Registered Nurse - Diabetes Educator	053177-23 (New Hampshire)	Secondary

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. Loretta C Grimm allows following entities to bill medicare on her behalf.

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508280389 PECOS PAC ID: 1759293111 Enrollment ID: O20140617000093

Entity Name	Albany Medical College
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621

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. Loretta C Grimm 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
Loretta C Grimm, FNP Po Box 5001, Diabetes Center At Memorial Hospital, North Conway, NH 03860-5001 Ph: (603) 356-0796	Loretta C Grimm, FNP 3073 White Mountain Hwy, Diabetes Center At Memorial Hospital, North Conway, NH 03860-7101 Ph: (603) 356-0796

Reviews and Comments

Nurse Practitioner Nurses in North Conway, NH

Kimberly S. Macdermott, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472 Fax: 603-356-9647
Linda J Barton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Mrs. Kathleen Blake Maynard, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, Primary Care, Memorial Hospital, North Conway, NH 03860 Phone: 603-356-5461
Jennifer Winthrop Golkowski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-0796
Zachary Stephen Sevigny, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461
Charisse N. Hirschfeld, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472
Justine Fierman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3073 White Mountain Hwy, Memorial Hospital, North Conway, NH 03860 Phone: 603-356-4949

Loretta C Grimm, FNP - Medicare Nurse Practitioner in North Conway, NH