Erica Marie Grimm, DO - Medicare Pediatrics in Fort Leonard Wood, MO

Erica Marie Grimm, DO is a medicare enrolled "Pediatrics" physician in Fort Leonard Wood, Missouri. Her current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 596-1766.

Erica Marie Grimm is licensed to practice in Nebraska (license number 2105) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346746419.

Contact Information

Erica Marie Grimm, DO
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
(573) 596-1766
Not Available



Physician's Profile

Full NameErica Marie Grimm
GenderFemale
SpecialityPediatrics
Location4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346746419
  • Provider Enumeration Date: 04/05/2018
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5092113175
  • Enrollment ID: I20211004001494

Medical Identifiers

Medical identifiers for Erica Marie Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346746419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2105 (Nebraska)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. Erica Marie 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 AddressPractice Location Address
Erica Marie Grimm, DO
9040 Fitzsimmons Dr,
Joint Base Lewis Mcchord, WA 98431-1000

Ph: (253) 968-1330
Erica Marie Grimm, DO
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098

Ph: (573) 596-1766

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Pediatrics Doctors in Fort Leonard Wood, MO

Andrea Stephenson,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 808-735-9617    
Egberto Toro, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Attn: Mcxp-ccs-cr (credentials), Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Dr. Elena A Rostapshova, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Dr. Roman Oleh Bilynsky, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 126 Missouri Avenue, Glwach - Attn: Credentials Office, Fort Leonard Wood, MO 65473
Phone: 573-596-0415    Fax: 573-596-0524
Dr. Thomas E Ellwood, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    Fax: 573-596-0524
Ms. Marie Grace Noah, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473
Phone: 573-596-0417    

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