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Julie Anne Grimes Mumfrey

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

401 Lowell Dr SE Ste 1, Huntsville, AL 35801-3738

PECOS Enrollment

This provider is enrolled in PECOS as JULIE GRIMES MUMFREY.

Based on the most recent information from CMS, provider Julie Anne Grimes Mumfrey is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1942318282
Provider Type
Individual
Full Name
Grimes Mumfrey, Julie Anne
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
8/28/2006
Last Updated
10/7/2022

Contact Information

Practice Location

401 Lowell Dr SE Ste 1, Huntsville, AL 35801-3738

(256) 265-4462

(256) 265-4463

Mailing Location

PO Box 2705, Huntsville, AL 35804-2705

(256) 265-4462

(256) 265-4463

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 43996 Alabama
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License M4121 Texas

Provider Identifiers

ID	Description	Issuer
ID 183461603	Description Medicaid	Issuer Unlisted Texas
ID 183461604	Description Medicaid	Issuer Unlisted Texas
ID 8S9291	Description Other	Issuer BCBS Texas
ID 183461601	Description Medicaid	Issuer Unlisted Texas

Julie Anne Grimes Mumfrey

PECOS Enrollment

Profile Details

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