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Theresa Grimes

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NPI Number Detailed Information

Provider Information:

Name: Theresa Grimes
Gender: F
Provider License Number If Given: F332400-1

NPI Information:

NPI: 1912910910
Entity Type
(Individual or Organization):		 1-ind
Enumeration Date: 8/14/2006
Last Update Date: 2/4/2011

Provider Business Mailing Address:

Address: 12 MONITOR CT
Coram, NY 11727
Phone Number: 6314762734
Fax Number:

Provider Business Practice Location Address:

Address: 75 N COUNTRY RD
Port Jefferson, NY 11777
Phone Number: 6314762847
Fax Number:

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any):
State: NY

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About Theresa Grimes

Theresa Grimes ( THERESA GRIMES ) is Definition Nurse Practitioner Physician in Port Jefferson, NY. The NPI Number for Theresa Grimes is 1912910910.
The current location address for Theresa Grimes is 75 N COUNTRY RD Port Jefferson, NY 11777 and the contact number is 6314762734 and fax number is . The mailing address for Theresa Grimes is 12 MONITOR CT Coram, NY 11727- 6314762847 (mailing address contact number - 6314762734).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Theresa Grimes ?


Answer: The NPI Number for Theresa Grimes is 1912910910

Where is Theresa Grimes located?


Answer: Theresa Grimes is located at 75 N COUNTRY RD Port Jefferson, NY 11777.

What is the specialty for Theresa Grimes ?


Answer: The Specialty of Theresa Grimes is Definition Nurse Practitioner Physician.

Are there any online reviews for Theresa Grimes ?


Answer: Not yet!

Are there any other health care providers in Port Jefferson, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Theresa Grimes

Number of HCPCS 2
Number of Medicare Beneficiaries 33
Number of Services 35
Total Submitted Charge Amount 6811
Total Medicare Allowed Amount 1750.04
Total Medicare Payment Amount 1400.1
Total Medicare Standardized Payment Amount 1204.44
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 2
Number of Medicare Beneficiaries With Medical 33
Number of Medical Services 35
Total Medical Submitted Charge Amount 6811
Total Medical Medicare Allowed Amount 1750.04
Total Medical Medicare Payment Amount 1400.1
Total Medical Medicare Standardized Payment Amount 1204.44
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 21
Number of Male Beneficiaries 12
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 20
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.39
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.55
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.52
Percent (%) of Beneficiaries Identified With Depression 0.7
Percent (%) of Beneficiaries Identified With Diabetes 0.52
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.75
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.75
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 4.5353

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Address: 635 BELLE TERRE RD # 209 Port Jefferson, NY 11777 , Phone: 6314740707
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Address: 75 N COUNTRY RD Port Jefferson, NY 11777 , Phone: 6314731320
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Address: 635 BELLE TERRE RD SUITE 204 Port Jefferson, NY 11777 , Phone: 6314740008
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Address: 640 BELLE TERRE RD BUILDING C Port Jefferson, NY 11777 , Phone: 6319287750
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NPI Number: 1912910910
Address: 75 N COUNTRY RD Port Jefferson, NY 11777 , Phone: 6314762847
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Dr. Keri A Logan
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Address: 75 N COUNTRY RD Port Jefferson, NY 11777 , Phone: 6314762808
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Address: 646 MAIN ST Port Jefferson, NY 11777 , Phone: 6318284135
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Address: 60 N COUNTRY RD SUITE 301 Port Jefferson, NY 11777 , Phone: 6314744200
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Address: 640 BELLE TERRE RD BLDG J Port Jefferson, NY 11777 , Phone: 6319282121
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Address: 60 N COUNTRY RD SUITE 301 Port Jefferson, NY 11777 , Phone: 6314744200
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