Peter Matthew Granger, - Medicare Plastic Surgery in Jacksonville, FL

Peter Matthew Granger, is a medicare enrolled "Plastic Surgery" physician in Jacksonville, Florida. His current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Peter Matthew Granger is licensed to practice in Florida (license number TRN37608) 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 1669174868.

Contact Information

Peter Matthew Granger,
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available



Physician's Profile

Full NamePeter Matthew Granger
GenderMale
SpecialityPlastic Surgery
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669174868
  • Provider Enumeration Date: 03/20/2023
  • Last Update Date: 07/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6406215078
  • Enrollment ID: I20230630000081

Medical Identifiers

Medical identifiers for Peter Matthew Granger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669174868NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery TRN37608 (Florida)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. Peter 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 AddressPractice Location Address
Peter Matthew Granger,
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000
Peter Matthew Granger,
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

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Plastic Surgery Doctors in Jacksonville, FL

John Murray, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4555 Emerson St, Suite 230, Jacksonville, FL 32207
Phone: 904-633-0130    Fax: 904-633-0131
Sarvam Terkonda, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mohamad Reza Samiian, MD PA
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4221 Southpoint Pkwy, Jacksonville, FL 32216
Phone: 904-296-2810    Fax: 904-296-3424
David Colton Riley, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Miss Kathleen R Renner, A.P.R.N.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4147 Southpoint Dr East, Optional, Jacksonville, FL 32216
Phone: 904-332-6774    Fax: 904-661-0028
James Waldorf, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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