Holly Granfield, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Milwaukee, Wisconsin. Her current practice location is
5000 W National Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(419) 291-7222.
Holly Granfield is licensed to practice in * (Not Available) (license number ) 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 1629820857.
Healthcare Provider's Profile
Full Name | Holly Granfield |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5000 W National Ave, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629820857
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 06/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426595398
- Enrollment ID: I20240809000443
Medical Identifiers
Medical identifiers for Holly Granfield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629820857 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12014721A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Holly Granfield 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 Address | Practice Location Address |
Holly Granfield, DDS 5000 W National Ave, Milwaukee, WI 53295-0001 Ph: () - | Holly Granfield, DDS 5000 W National Ave, Milwaukee, WI 53295-0001 Ph: (419) 291-7222 |
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