Kyle William Grimes, DC is a medicare enrolled "Chiropractor" provider in Fountain City, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2013 and has 11 years of diverse experience with area of expertise as Chiropractic. His current practice location is
W502 Spur Ln, Fountain City, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 687-1255.
Kyle William Grimes is licensed to practice in Wisconsin (license number 5041-12) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1285070664.
Healthcare Provider's Profile
Full Name | Kyle William Grimes |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 11 Years |
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Location | W502 Spur Ln, Fountain City, Wisconsin |
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Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kyle William Grimes attended and graduated from Palmer College Chiropractic - Davenport in 2013
NPI Data:
- NPI Number: 1285070664
- Provider Enumeration Date: 05/13/2013
- Last Update Date: 11/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 9638318561
- Enrollment ID: I20141229000368
Medical Identifiers
Medical identifiers for Kyle William Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285070664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 5041-12 (Wisconsin) | 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. Kyle William Grimes allows following entities to bill medicare on his behalf.
Provider Name | Foundations Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1750783775 PECOS PAC ID: 8729300959 Enrollment ID: O20141125001396 |
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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. Kyle William 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 |
Kyle William Grimes, DC W502 Spur Ln, Fountain City, WI 54629-7208 Ph: (608) 687-1255 | Kyle William Grimes, DC W502 Spur Ln, Fountain City, WI 54629-7208 Ph: (608) 687-1255 |
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