| Mr Justin Roger Grimes, CRNA | |
|
1305 Wonder World Dr, Ste 105, San Marcos, TX 78666-7546 | |
| (512) 353-8161 | |
| (512) 353-8255 |
| Full Name | Mr Justin Roger Grimes |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1305 Wonder World Dr, San Marcos, Texas |
| 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 |
|---|---|---|---|
| 1639592967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 744531 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Woodland Heights Medical Center | Lufkin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergenchealth Pllc | 1355606641 | 666 |
| Entity Name | Austin Anesthesiology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Grimes Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720885197 PECOS PAC ID: 4284151879 Enrollment ID: O20250507001512 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Roger Grimes, CRNA 2804 W Biddison St, Fort Worth, TX 76109-3039 Ph: (806) 928-5053 | Mr Justin Roger Grimes, CRNA 1305 Wonder World Dr, Ste 105, San Marcos, TX 78666-7546 Ph: (512) 353-8161 |
Rockie Lane Dugger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 Fax: 254-200-4090 | |
Ms. Mildred Simon Mozara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-353-8979 | |
Wendell M Holladay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Ste. 105, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Catherine Renee Carpenter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps - Credentialing, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Michael Lynn Nick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 105, Yps Anesthesia, San Marcos, TX 78666 Phone: 512-353-8161 Fax: 512-353-8255 | |
Lindsey Marie Smith-dunford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666 Phone: 512-353-8161 | |
Courtney Harrell, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Wonder World Dr, San Marcos, TX 78666 Phone: 512-753-3571 |