Jacquelyn E. Grev

MD | Pediatric Neonatal-Perinatal Medicine | Female

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Complete Profile:

Jacquelyn E. Grev basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Neonatal-Perinatal Medicine
Provider Name :	Jacquelyn E. Grev
Credential :	MD
Gender :	Female

Business Address:

Jacquelyn E. Grev address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1600 W 22nd St Sioux Falls, SD, 57105 United States
Phone Number :	605-312-1000

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1194088963
NPI Entity Type :	Individual
First Enrolment Date :	18 Jun, 2012
Last Updated On :	17 Jul, 2018

Medicare Participation:

Jacquelyn E. Grev participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7517103369
Medicare Enrollment ID :	I20180928002490
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Minnesota Medical School
Graduation Year :	2012
Accepts Medicare?	Yes. Jacquelyn E. Grev accepts medicare insurance.

Group Practice Association:

Jacquelyn E. Grev is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jacquelyn E. Grev is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Sanford Medical Center	8325950215	698	1301 W 18th St Sanford Cardiovascular Institute Sioux Falls, SD - 571050401 Ph: 6053282929	Yes
Sanford Medical Center	8325950215	698	1305 W 18 St Sioux Falls, SD - 571050401	Yes
Sanford Medical Center	8325950215	698	1600 W 22nd St Sioux Falls, SD - 571051521 Ph: 6053289515	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn E. Grev are as mentioned. Primary taxonomy code for Jacquelyn E. Grev, MD is 2080N0001X (Pediatrics Neonatal-Perinatal Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	042.0013120	VT
208000000X	Pediatrics	No	56560	MN
2080N0001X	Pediatrics Neonatal-Perinatal Medicine	Yes	10846	SD

Legacy Identifiers:

Other legacy medical identifiers of Jacquelyn E. Grev such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
ENROLLED	MEDICAID	IA
ENROLLED	MEDICAID	MN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1600 W 22nd St Sioux Falls, SD, 57105-1521 United States
Phone Number :	605-312-1000

Business Location:

Patients can refer following map for directions to Jacquelyn E. Grev practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.