| David B Grimm, CRNA | |
|
500 Burlington Rd, Jackson, OH 45640-9360 | |
| (855) 446-5937 | |
| (740) 395-8519 |
| Full Name | David B Grimm |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 38 Years |
| Location | 500 Burlington Rd, Jackson, 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 |
|---|---|---|---|
| 1003906421 | NPI | - | NPPES |
| 0065977000 | Medicaid | WV | |
| 0752074 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 42699 (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | COA.01721-NA (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adena Regional Medical Center | Chillicothe, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adena Medical Group Llc | 1153456579 | 384 |
| Premier Anesthesia Of Ohio Llc | 3779714258 | 123 |
| Entity Name | Adena Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Entity Name | Premier Anesthesia of Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699196022 PECOS PAC ID: 3779714258 Enrollment ID: O20140326001267 |
| Mailing Address | Practice Location Address |
|---|---|
| David B Grimm, CRNA 500 Burlington Rd, Jackson, OH 45640-9360 Ph: (855) 446-5937 | David B Grimm, CRNA 500 Burlington Rd, Jackson, OH 45640-9360 Ph: (855) 446-5937 |
Randy Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 740-446-5000 |
Dustin Lee Peaytt, RN, BSN, DMPNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 855-446-5937 |
Eric W Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 855-446-5937 |
Sandra Lee Troester, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 280 Pattonsville Rd, Jackson, OH 45640 Phone: 855-446-5937 Fax: 740-395-8834 |