Dr Jacqueline Agnes Grimm, OD in Gallup, NM - Medicare Optometry Provider

Dr Jacqueline Agnes Grimm, OD is a medicare enrolled "Optometrist" provider in Gallup, New Mexico. She went to University Of Alabama School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Clarkson Optometry Midwest Inc and her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Dr Jacqueline Agnes Grimm is licensed to practice in Kentucky (license number 2145DT) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245892645.

Contact Information

	Dr Jacqueline Agnes Grimm, OD
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jacqueline Agnes Grimm
Gender	Female
Speciality	Optometry
Experience	5 Years
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jacqueline Agnes Grimm attended and graduated from University Of Alabama School Of Medicine in 2019

NPI Data:

NPI Number: 1245892645
Provider Enumeration Date: 07/05/2019
Last Update Date: 07/05/2019

Medicare PECOS Information:

PECOS PAC ID: 0446581896
Enrollment ID: I20200421002930

Medical Identifiers

Medical identifiers for Dr Jacqueline Agnes Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245892645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2145DT (Kentucky)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clarkson Optometry Midwest Inc	0749504165	83

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacqueline Agnes Grimm allows following entities to bill medicare on her behalf.

Provider Name	Clarkson Optometry Midwest Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461

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. Dr Jacqueline Agnes Grimm 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
Dr Jacqueline Agnes Grimm, OD 2240 Bonhaven Rd, Lexington, KY 40515-1150 Ph: (859) 421-3369	Dr Jacqueline Agnes Grimm, OD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Optometrist in Gallup, NM

Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874
Gallup Eye Group Llc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Boardman Dr, Gallup, NM 87301 Phone: 505-339-2015 Fax: 505-492-0904
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326

Dr Jacqueline Agnes Grimm, OD - Medicare Optometrist in Gallup, NM