Matthew Granger, is a medicare enrolled "Internal Medicine - Adult Congenital Heart Disease" in Columbus, Ohio. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Osu Internal Medicine Llc and his current practice location is
800 E Broad St, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 252-8300.
Matthew Granger is licensed to practice in Ohio (license number 15907CNP) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750797064.
Provider's Profile
| Full Name | Matthew Granger |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 800 E Broad St, Columbus, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Matthew Granger graduated from nursing school in 2014
NPI Data:
- NPI Number: 1750797064
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 2163730516
- Enrollment ID: I20151005000509
Medical Identifiers
Medical identifiers for Matthew Granger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750797064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | COA.15907-NP (Ohio) | Secondary |
| 207RA0002X | Internal Medicine - Adult Congenital Heart Disease | 15907CNP (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Osu Internal Medicine Llc | 5496651408 | 1067 |
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. Matthew Granger allows following entities to bill medicare on his behalf.
| Entity Name | Osu Internal Medicine Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740231448
PECOS PAC ID: 5496651408
Enrollment ID: O20031210000658 |
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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. Matthew 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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Matthew Granger,
473 W 12th Ave Ste 200,
Columbus, OH 43210-1252
Ph: (614) 293-7677 | Matthew Granger,
800 E Broad St,
Columbus, OH 43205-1015
Ph: (614) 252-8300 |
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