Mrs Carol S Grimm, FNP is a medicare enrolled "Nurse Practitioner - Family" in Woodmire, Ohio. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cg Medical Associates Inc and her current practice location is
Clinic #3301 28100 Chagrin Blvd, Woodmire, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 831-1466.
Mrs Carol S Grimm is licensed to practice in Ohio (license number APRN.CNP.026390) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215575436.
Provider's Profile
| Full Name | Mrs Carol S Grimm |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 6 Years |
|---|
| Location | Clinic #3301 28100 Chagrin Blvd, Woodmire, Ohio |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Carol S Grimm graduated from nursing school in 2019
NPI Data:
- NPI Number: 1215575436
- Provider Enumeration Date: 12/18/2019
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 2466860143
- Enrollment ID: I20210419000341
Medical Identifiers
Medical identifiers for Mrs Carol S Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215575436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.026390 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cg Medical Associates Inc | 6608052196 | 110 |
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. Mrs Carol S Grimm allows following entities to bill medicare on her behalf.
| Entity Name | The Little Clinic Of Ohio Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982761896
PECOS PAC ID: 7719087584
Enrollment ID: O20070709000336 |
|---|
| Entity Name | Cg Medical Associates Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20110518000216 |
|---|
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. Mrs Carol S 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 |
|---|
Mrs Carol S Grimm, FNP
5702 Bridgetown Rd Apt 8, Street Address 2,
Cincinnati, OH 45248
Ph: (513) 479-8863 | Mrs Carol S Grimm, FNP
Clinic #3301 28100 Chagrin Blvd,
Woodmire, OH 44122
Ph: (216) 831-1466 |
Reviews and Comments