| Elissa Kathleen Grimm, CRNA | |
|
145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 | |
| (336) 768-3212 | |
| (336) 768-9019 |
| Full Name | Elissa Kathleen Grimm |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477748564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 167936 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firsthealth Of The Carolinas Inc | 8820909377 | 118 |
| Entity Name | Firsthealth Of The Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
| Entity Name | Piedmont Triad Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Elissa Kathleen Grimm, CRNA 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 Ph: (336) 768-3212 | Elissa Kathleen Grimm, CRNA 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103-6983 Ph: (336) 768-3212 |
Nicholas Ryan Tuttle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-409-1797 | |
Yetta Hardy Clark, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr, Suite 300, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Carie Sue Nunley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Connie Sue Freeman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Charlie Martin Robertson Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Holly C Pegram, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 | |
Jessica Savidge Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 145 Kimel Park Dr Ste 120, Winston Salem, NC 27103 Phone: 336-768-3212 Fax: 336-768-9019 |