| John Grim, CNS-BC | |
|
30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | |
| (937) 208-4200 | |
| (937) 208-4205 |
| Full Name | John Grim |
|---|---|
| Gender | Male |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 16 Years |
| Location | 30 E Apple St Ste 5254a, Dayton, 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 |
|---|---|---|---|
| 1346564374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | COA NS-11161 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami Valley Hospital | Dayton, OH | Hospital |
| Upper Valley Medical Center | Troy, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Health Specialists Inc | 5597708594 | 471 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Mailing Address | Practice Location Address |
|---|---|
| John Grim, CNS-BC 3170 Kettering Blvd Bldg B2nd, Moraine, OH 45439-1924 Ph: (937) 991-3191 | John Grim, CNS-BC 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 Ph: (937) 208-4200 |
Rose M Malone-jones, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 301 W 1st St, Suite 100, Dayton, OH 45402 Phone: 937-461-0800 Fax: 937-496-0171 | |
Ms. Cheryl Lynn Rawe, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 414 Amy Ct, Dayton, OH 45415 Phone: 937-890-8405 | |
Teresa Mustovich, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406 Phone: 937-434-4363 Fax: 937-734-4181 | |
Marianna Karine Sunderlin, ACNS-C Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 | |
Mr. Gregory Sanchez, MS, RN-BC, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St Ste 3272, Dayton, OH 45409 Phone: 937-208-2126 | |
Mrs. Pamela Sue Lamb, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 324 Wilmington Ave, Dayton, OH 45420 Phone: 937-256-4490 Fax: 937-258-5478 | |
Michelle Post, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-0000 |