Nickolas Peter Grimes, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Arroyo Grande, California. His current practice location is
310 S Halcyon Rd, Arroyo Grande, California. You can reach out to his office (for appointments etc.) via phone at
(510) 917-2334.
Nickolas Peter Grimes is licensed to practice in California (license number E6064) 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 1013594308.
Healthcare Provider's Profile
| Full Name | Nickolas Peter Grimes |
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| Gender | Male |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 310 S Halcyon Rd, Arroyo Grande, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013594308
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608310305
- Enrollment ID: I20240705001995
Medical Identifiers
Medical identifiers for Nickolas Peter Grimes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013594308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E6064 (California) | Primary |
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. Nickolas Peter Grimes allows following entities to bill medicare on his behalf.
| Provider Name | Scott E Adams Dpm Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1487648697
PECOS PAC ID: 3577577733
Enrollment ID: O20060126001075 |
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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. Nickolas Peter Grimes 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 |
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Nickolas Peter Grimes, DPM
24 Daisy St,
Ladera Ranch, CA 92694-0709
Ph: (949) 291-6369 | Nickolas Peter Grimes, DPM
310 S Halcyon Rd,
Arroyo Grande, CA 93420-3872
Ph: (510) 917-2334 |
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