Johannes Fredrik Grimmer, MD - Medicare Otolaryngology in Salt Lake City, UT

Johannes Fredrik Grimmer, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Salt Lake City, Utah. His current practice location is 100 N Medical Dr, Suite 4500, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-5671.

Johannes Fredrik Grimmer is licensed to practice in Utah (license number 5856707-1205) 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 1477643070.

Contact Information

Johannes Fredrik Grimmer, MD
100 N Medical Dr, Suite 4500,
Salt Lake City, UT 84113-1103
(801) 662-5671
Not Available



Physician's Profile

Full NameJohannes Fredrik Grimmer
GenderMale
SpecialityOtolaryngology - Pediatric Otolaryngology
Location100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477643070
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 11/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143269365
  • Enrollment ID: I20050427001019

Medical Identifiers

Medical identifiers for Johannes Fredrik Grimmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477643070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YP0228XOtolaryngology - Pediatric Otolaryngology 5856707-1205 (Utah)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. Johannes Fredrik Grimmer allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079

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Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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Entity NameUniversity Of Utah Pediatric Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487018974
PECOS PAC ID: 0547552473
Enrollment ID: O20160713000371

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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. Johannes Fredrik Grimmer 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
Johannes Fredrik Grimmer, MD
Po Box 581094,
Salt Lake City, UT 84158-1094

Ph: (801) 213-3800
Johannes Fredrik Grimmer, MD
100 N Medical Dr, Suite 4500,
Salt Lake City, UT 84113-1103

Ph: (801) 662-5671

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Otolaryngology Doctors in Salt Lake City, UT

Dr. Kendall M. Burgett, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-662-5663    
Dr. Jason P Hunt, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Russell Jon Ord, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 333 S 900 E, Salt Lake City, UT 84102
Phone: 801-535-8185    Fax: 801-355-4011
Dr. David Parker Hill, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 2000 S 900 E, Salt Lake City, UT 84105
Phone: 801-464-7660    Fax: 801-464-7558
Dr. Bethany R Powers, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6322 S 3000 E Ste 170, Salt Lake City, UT 84121
Phone: 801-513-3223    
Christopher A. Hamilton, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 50 North Medical Dr Som 3c120, Salt Lake City, UT 84132
Phone: 801-581-7514    
Quinn Taylor Orb, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Som 3c-120, Salt Lake City, UT 84132
Phone: 801-581-7514    Fax: 801-585-5744

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