| John D Grimme, MD | |
|
4001 Prince William Pkwy Ste 302, Woodbridge, VA 22192-7667 | |
| (703) 494-3309 | |
| (703) 321-3300 |
| Full Name | John D Grimme |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 4001 Prince William Pkwy Ste 302, Woodbridge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093751224 | NPI | - | NPPES |
| 1093751224 | Medicaid | VA | |
| 8425142 | Medicaid | WA | |
| 213369 | Medicaid | OR | |
| 475804801 | Medicaid | MD | |
| MD1459R | Medicaid | AK | |
| 1093751224 | Medicaid | WV | |
| MD3449R | Medicaid | AK |
| Entity Name | Winchester Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123977 PECOS PAC ID: 7113915281 Enrollment ID: O20171103002460 |
| Mailing Address | Practice Location Address |
|---|---|
| John D Grimme, MD 8001 Forbes Pl Ste 103, Springfield, VA 22151-2205 Ph: (814) 426-7319 | John D Grimme, MD 4001 Prince William Pkwy Ste 302, Woodbridge, VA 22192-7667 Ph: (703) 494-3309 |
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-0611 Fax: 703-670-2089 | |
Brendan L Waters, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Dept Of Radiology, Woodbridge, VA 22191 Phone: 703-607-1561 | |
Dr. Rushi M Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-0611 | |
Dr. Susan Elizabeth Boylan, MD Radiology Medicare: Medicare Enrolled Practice Location: 2280 Opitz Blvd, Suite 120, Woodbridge, VA 22191 Phone: 703-670-3349 Fax: 703-590-3199 | |
Robert A Olshaker, MD Radiology Medicare: Medicare Enrolled Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 | |
Lawrence J Israel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-670-1561 Fax: 703-670-4961 |