Dr Jessica L Grimes, MD is a medicare enrolled "Family Medicine" physician in Ottertail, Minnesota. Her current practice location is
Tri-county Health Care Ottertail Clinic, 232 Mn Hwy 78 North, Ottertail, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 364-6262.
Dr Jessica L Grimes is licensed to practice in Minnesota (license number 58569) 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 1174844286.
Physician's Profile
| Full Name | Dr Jessica L Grimes |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | Tri-county Health Care Ottertail Clinic, Ottertail, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174844286
- Provider Enumeration Date: 06/13/2010
- Last Update Date: 05/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799927562
- Enrollment ID: I20150831000060
Medical Identifiers
Medical identifiers for Dr Jessica L Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174844286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 125-057637 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 2013-00541 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 58569 (Minnesota) | 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. Dr Jessica L Grimes allows following entities to bill medicare on her behalf.
| Entity Name | Astera Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
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| Entity Name | Perham Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
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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. Dr Jessica L 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 |
Dr Jessica L Grimes, MD Tri-county Health Care, 415 Jefferson St North, Wadena, MN 56482-1296 Ph: (218) 631-3510 | Dr Jessica L Grimes, MD Tri-county Health Care Ottertail Clinic, 232 Mn Hwy 78 North, Ottertail, MN 56571 Ph: (218) 364-6262 |
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