| Dr Ronald Grimwood, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2111 | |
| (254) 724-7603 |
| Full Name | Dr Ronald Grimwood |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 51 Years |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992765630 | NPI | - | NPPES |
| 1178535-06 | Other | TX | CSHCN |
| 8S0398 | Other | TX | BLUE SHIELD |
| 1178535-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | H5891 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald Grimwood, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Dr Ronald Grimwood, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Dr. Mark Grogan Tusa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775 | |
Dr. David Ford Butler, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 409 W Adams Ave, Temple, TX 76501 Phone: 254-742-3775 | |
Natalie Brittan Lane, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Katelen Korty, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Imran T Baig, MD Dermatology Medicare: Medicare Enrolled Practice Location: 2401 S 31st St # Ms 27104a, Temple, TX 76508 Phone: 254-724-6385 | |
Dr. Betsy J. Furukawa, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Christine Tran, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St Bldg 27, Temple, TX 76508 Phone: 254-724-6300 |