| Scott D Grimm, PAC | |
|
7544 Jacque Rd, Hudson, FL 34667-7162 | |
| (727) 697-2200 | |
| Not Available |
| Full Name | Scott D Grimm |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 7544 Jacque Rd, Hudson, Florida |
| 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 |
|---|---|---|---|
| 1790975142 | NPI | - | NPPES |
| PA9104443 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | MED-PAC-LIC-28473 (Montana) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MED-PAC-LIC-28473 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bozeman Health Deaconess Regional Medical Center | Bozeman, MT | Hospital |
| Billings Clinic Hospital | Billings, MT | Hospital |
| Livingston Healthcare | Livingston, MT | Hospital |
| Barrett Hospital & Healthcare | Dillon, MT | Hospital |
| Madison Valley Medical Center | Ennis, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bridger Orthopedics And Sports Medicine Pc | 4587627096 | 69 |
| Entity Name | Bridger Orthopedics and Sports Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750310926 PECOS PAC ID: 4587627096 Enrollment ID: O20041105000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott D Grimm, PAC 7544 Jacque Rd, Hudson, FL 34667-7162 Ph: (727) 697-2200 | Scott D Grimm, PAC 7544 Jacque Rd, Hudson, FL 34667-7162 Ph: (727) 697-2200 |
Mr. Stephen Kette, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Joshua Bosley Kiba, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Bernard Scott Davis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Robert Obenrader, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 Fax: 727-863-8774 |
Jarron Fevrier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 954-701-7285 |
Rachel Tipton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7544 Jacque Rd, Hudson, FL 34667 Phone: 727-697-2200 |
Ayesha Falak Kietzman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 Phone: 727-605-0252 |