Dr Kleve Woods Granger, MD is a medicare enrolled "Otolaryngology" physician in Jber, Alaska. His current practice location is
5955 Zeamer Ave, Jber, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 580-5804.
Dr Kleve Woods Granger is licensed to practice in Nebraska (license number 7932) 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 1972023323.
Physician's Profile
| Full Name | Dr Kleve Woods Granger |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 5955 Zeamer Ave, Jber, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972023323
- Provider Enumeration Date: 06/26/2017
- Last Update Date: 09/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284908740
- Enrollment ID: I20230131003690
Medical Identifiers
Medical identifiers for Dr Kleve Woods Granger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972023323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 2023035004 (Missouri) | Secondary |
| 207Y00000X | Otolaryngology | 7932 (Nebraska) | 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. Dr Kleve Woods Granger allows following entities to bill medicare on his behalf.
| Entity Name | Alaska Native Tribal Health Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772 |
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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. Dr Kleve Woods Granger 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 |
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Dr Kleve Woods Granger, MD
5955 Zeamer Ave,
Jber, AK 99506-3702
Ph: (907) 580-5804 | Dr Kleve Woods Granger, MD
5955 Zeamer Ave,
Jber, AK 99506-3702
Ph: (907) 580-5804 |
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