| Eric R Grimes, MD | |
|
335 Glessner Ave Fl 5, Mansfield, OH 44903-2269 | |
| (419) 756-5500 | |
| Not Available |
| Full Name | Eric R Grimes |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 26 Years |
| Location | 335 Glessner Ave Fl 5, Mansfield, Ohio |
| 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 |
|---|---|---|---|
| 1275598013 | NPI | - | NPPES |
| 2572265 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 3586045 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Wooster Community Hospital | Wooster, OH | Hospital |
| Ohiohealth Shelby Hospital | Shelby, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohiohealth Corporation | 6305758426 | 2279 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric R Grimes, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Eric R Grimes, MD 335 Glessner Ave Fl 5, Mansfield, OH 44903-2269 Ph: (419) 756-5500 |
Mykola O. Prykhodko, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 770 Balgreen Dr, Suite 209, Mansfield, OH 44906 Phone: 419-756-5500 Fax: 419-756-5502 |