Alisha Grimm, is a
Case Manager/care Coordinator based in Massapequa, New York. Alisha Grimm is licensed to practice in New York (license number ) and her current practice location is
238 W End Ave, Massapequa, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 506-8854.
NPI number for Alisha Grimm is 1073239505 and her current mailing address is 238 W End Ave, Massapequa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073239505.
Healthcare Provider's Profile
| Full Name | Alisha Grimm |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 238 W End Ave, Massapequa, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1073239505
- Provider Enumeration Date: 10/17/2022
- Last Update Date: 05/29/2024
Medical Identifiers
Medical identifiers for Alisha Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073239505 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | (New York) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (New York) | Primary |
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. Alisha Grimm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Alisha Grimm,
238 W End Ave,
Massapequa, NY 11758-6413
Ph: (516) 506-8854 | Alisha Grimm,
238 W End Ave,
Massapequa, NY 11758-6413
Ph: (516) 506-8854 |
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