Roger Dean Grider, MD is a
Radiology - Diagnostic Radiology physician based in Lagrange, Kentucky. Roger Dean Grider is licensed to practice in Kentucky (license number 19015) and his current practice location is 120 E Adams St, Ste 4, Lagrange, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 222-3281.
NPI number for Roger Dean Grider is 1538192364 and his current mailing address is 120 E Adams St, Ste 4, Lagrange, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538192364.
Physician's Profile
| Full Name | Roger Dean Grider |
|---|
| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 120 E Adams St, Lagrange, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538192364
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 11/09/2007
Medical Identifiers
Medical identifiers for Roger Dean Grider such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538192364 | NPI | - | NPPES |
| 64190150 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 19015 (Kentucky) | Primary |
| 2085B0100X | Radiology - Body Imaging | 19015 (Kentucky) | Secondary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | 19015 (Kentucky) | Secondary |
| 2085N0904X | Radiology - Nuclear Radiology | 19015 (Kentucky) | Secondary |
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. Roger Dean Grider is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Roger Dean Grider, MD
120 E Adams St, Ste 4,
Lagrange, KY 40031-1278
Ph: (502) 222-3281 | Roger Dean Grider, MD
120 E Adams St, Ste 4,
Lagrange, KY 40031-1278
Ph: (502) 222-3281 |
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