Johannes Fredrik Grimmer, MD - Medicare Otolaryngology 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 NameJohannes Fredrik Grimmer
GenderMale
SpecialityOtolaryngology - Pediatric Otolaryngology
Location100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1477643070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YP0228XOtolaryngology - 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 NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683
Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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