Dr Kleve Woods Granger, MD - Medicare Otolaryngology in Jber, AK

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.

Contact Information

Dr Kleve Woods Granger, MD
5955 Zeamer Ave,
Jber, AK 99506-3702
(907) 580-5804
Not Available



Physician's Profile

Full NameDr Kleve Woods Granger
GenderMale
SpecialityOtolaryngology
Location5955 Zeamer Ave, Jber, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1972023323NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 2023035004 (Missouri)Secondary
207Y00000XOtolaryngology 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 NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
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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Otolaryngology Doctors in Jber, AK

Dr. David Taylor, D.O.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 673d Medical Group, 5955 Zeamer Avenue, Jber, AK 99506
Phone: 907-580-5804    

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