Mr Randy Clarence Anthony Grimshaw, PA-C in Poughkeepsie, NY

Mr Randy Clarence Anthony Grimshaw, PA-C is a medicare enrolled "Physician Assistant" in Poughkeepsie, New York. His current practice location is 159 Barnegat Rd Ste 101, Poughkeepsie, New York. You can reach out to his office (for appointments etc.) via phone at (845) 454-1942.

Mr Randy Clarence Anthony Grimshaw is licensed to practice in New York (license number 022495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710467246.

Contact Information

	Mr Randy Clarence Anthony Grimshaw, PA-C
	159 Barnegat Rd Ste 101, Poughkeepsie, NY 12601-5402
	(845) 454-1942
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Randy Clarence Anthony Grimshaw
Gender	Male
Speciality	Physician Assistant
Location	159 Barnegat Rd Ste 101, Poughkeepsie, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710467246
Provider Enumeration Date: 08/15/2018
Last Update Date: 08/15/2018

Medicare PECOS Information:

PECOS PAC ID: 7618228727
Enrollment ID: I20180927002619

Medical Identifiers

Medical identifiers for Mr Randy Clarence Anthony Grimshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710467246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	022495 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Randy Clarence Anthony Grimshaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Randy Clarence Anthony Grimshaw, PA-C 98 Miller Rd Apt 101, Rhinebeck, NY 12572-3559 Ph: (518) 534-4585	Mr Randy Clarence Anthony Grimshaw, PA-C 159 Barnegat Rd Ste 101, Poughkeepsie, NY 12601-5402 Ph: (845) 454-1942

Reviews and Comments

Physician Assistant Nurses in Poughkeepsie, NY

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Mr Randy Clarence Anthony Grimshaw, PA-C - Medicare Physician Assistant in Poughkeepsie, NY