Johannes Fredrik Grimmer, MD in Salt Lake City, UT

Johannes Fredrik Grimmer, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Salt Lake City, Utah. His current practice location is 100 N Medical Dr, Suite 4500, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5671.

Johannes Fredrik Grimmer is licensed to practice in Utah (license number 5856707-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477643070.

Contact Information

	Johannes Fredrik Grimmer, MD
	100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103
	(801) 662-5671
	Not Available

Map and Direction

Physician's Profile

Full Name	Johannes Fredrik Grimmer
Gender	Male
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477643070
Provider Enumeration Date: 10/13/2006
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0143269365
Enrollment ID: I20050427001019

Medical Identifiers

Medical identifiers for Johannes Fredrik Grimmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477643070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YP0228X	Otolaryngology - Pediatric Otolaryngology	5856707-1205 (Utah)	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. Johannes Fredrik Grimmer allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Johannes Fredrik Grimmer 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
Johannes Fredrik Grimmer, MD Po Box 581094, Salt Lake City, UT 84158-1094 Ph: (801) 213-3800	Johannes Fredrik Grimmer, MD 100 N Medical Dr, Suite 4500, Salt Lake City, UT 84113-1103 Ph: (801) 662-5671

Reviews and Comments

Otolaryngology Doctors in Salt Lake City, UT

Dr. Kendall M. Burgett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-662-5663
Dr. Jason P Hunt, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Russell Jon Ord, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8185 Fax: 801-355-4011
Dr. David Parker Hill, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2000 S 900 E, Salt Lake City, UT 84105 Phone: 801-464-7660 Fax: 801-464-7558
Dr. Bethany R Powers, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6322 S 3000 E Ste 170, Salt Lake City, UT 84121 Phone: 801-513-3223
Quinn Taylor Orb, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Som 3c-120, Salt Lake City, UT 84132 Phone: 801-581-7514 Fax: 801-585-5744
Dr. Boyd Neil Cole, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1002 E South Temple, #205, Salt Lake City, UT 84102 Phone: 801-533-0324 Fax: 801-539-0220

Johannes Fredrik Grimmer, MD - Medicare Otolaryngology in Salt Lake City, UT