| Kellye Michelle Grimes, PA | |
|
4430 E Highway 287 Ste 100, Midlothian, TX 76065-5576 | |
| (972) 723-5590 | |
| (972) 723-5592 |
| Full Name | Kellye Michelle Grimes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 4430 E Highway 287 Ste 100, Midlothian, Texas |
| 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 |
|---|---|---|---|
| 1083037758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA08921 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Midlothian Medical Center | Midlothian, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Oaks Physical Therapy Limited Partnership | 4688582141 | 208 |
| Medical Clinic Of North Texas, Pllc | 9830084540 | 212 |
| Entity Name | Medical Clinic of North Texas, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033167234 PECOS PAC ID: 9830084540 Enrollment ID: O20040430001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellye Michelle Grimes, PA 2665 Scripture St, Denton, TX 76201-2302 Ph: (940) 387-8763 | Kellye Michelle Grimes, PA 4430 E Highway 287 Ste 100, Midlothian, TX 76065-5576 Ph: (972) 723-5590 |
My Phuong Pham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4271 Fm 1387 Ste 200, Midlothian, TX 76065 Phone: 214-444-0444 Fax: 888-316-1686 |
Nguyet Anh Nguyen, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 E Highway 287, Midlothian, TX 76065 Phone: 972-723-5590 |
Mr. Wesley Ryan Bull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 S. Midlothian Parkway Suite 100, Midlothian, TX 76065 Phone: 469-800-9600 Fax: 469-800-9610 |
Elizabeth Okoroma, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4431 E Highway 287, Midlothian, TX 76065 Phone: 972-817-7500 |
Victoria Nguyen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2021 S 14th St Ste 100, Midlothian, TX 76065 Phone: 817-482-3237 |
Kristen Michelle Bold, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 E Highway 287, Midlothian, TX 76065 Phone: 972-723-5590 Fax: 972-723-5592 |
Regina M Nicholson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Us Highway 287 Ste 200, Midlothian, TX 76065 Phone: 732-463-7546 |