| Jacqueline Leight Reichert Grimes, | |
|
334 Farmington Dr, Lakeside Park, KY 41017-3195 | |
| (859) 446-6263 | |
| Not Available |
| Full Name | Jacqueline Leight Reichert Grimes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 334 Farmington Dr, Lakeside Park, Kentucky |
| 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 |
|---|---|---|---|
| 1548735384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | .023697 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Cincinnati Medical Center, Llc | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Cincinnati Physicians Company Llc | 2264344480 | 1378 |
| Entity Name | University Of Cincinnati Physicians Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Leight Reichert Grimes, 334 Farmington Dr, Lakeside Park, KY 41017-3195 Ph: () - | Jacqueline Leight Reichert Grimes, 334 Farmington Dr, Lakeside Park, KY 41017-3195 Ph: (859) 446-6263 |
Laurie A. Wallace, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2156 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-341-6255 Fax: 859-547-1197 | |
Mrs. Jessica Ryan Hall, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-655-7040 Fax: 859-331-2021 | |
Jessica R Vaniglia, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2156 Chamber Center Dr, Lakeside Park, KY 41017 Phone: 859-282-6700 Fax: 859-282-6760 |