Chelsea Grimes Fidai, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Hermosa Beach, California. She went to Tulane University School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Ocean Skin And Vein Institute and her current practice location is
2200 Pacific Coast Hwy Ste 215, Hermosa Beach, California. You can reach out to her office (for appointments etc.) via phone at
(424) 332-1574.
Chelsea Grimes Fidai is licensed to practice in California (license number A171819) 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 1841653714.
Physician's Profile
| Full Name | Chelsea Grimes Fidai |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 9 Years |
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| Location | 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Chelsea Grimes Fidai attended and graduated from Tulane University School Of Medicine in 2016
NPI Data:
- NPI Number: 1841653714
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 08/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618251489
- Enrollment ID: I20210727003305
Medical Identifiers
Medical identifiers for Chelsea Grimes Fidai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841653714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | A171819 (California) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | A171819 (California) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | A171819 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ocean Skin And Vein Institute | 9335482835 | 11 |
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. Chelsea Grimes Fidai allows following entities to bill medicare on her behalf.
| Entity Name | Comprehensive Dermatology Of Long Beach Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720356827
PECOS PAC ID: 6002076528
Enrollment ID: O20120320001025 |
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| Entity Name | Ocean Skin And Vein Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790246841
PECOS PAC ID: 9335482835
Enrollment ID: O20190524001960 |
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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. Chelsea Grimes Fidai 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 |
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Chelsea Grimes Fidai, MD
2200 Pacific Coast Hwy Ste 215,
Hermosa Beach, CA 90254-2701
Ph: (424) 332-1574 | Chelsea Grimes Fidai, MD
2200 Pacific Coast Hwy Ste 215,
Hermosa Beach, CA 90254-2701
Ph: (424) 332-1574 |
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