Phillip D Granger, PA-C in Virginia Beach, VA - Medicare Physician Assistant

Phillip D Granger, PA-C is a medicare enrolled "Physician Assistant" in Virginia Beach, Virginia. His current practice location is 3432 Holland Rd, Virginia Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 468-1855.

Phillip D Granger is licensed to practice in Virginia (license number 0110001146) 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 1003862939.

Contact Information

	Phillip D Granger, PA-C
	3432 Holland Rd, Virginia Beach, VA 23452-4846
	(757) 468-1855
	Not Available

Provider's Profile

Full Name	Phillip D Granger
Gender	Male
Speciality	Physician Assistant
Location	3432 Holland Rd, Virginia Beach, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003862939
Provider Enumeration Date: 05/25/2006
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5890697122
Enrollment ID: I20040126000567

Medical Identifiers

Medical identifiers for Phillip D Granger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003862939	NPI	-	NPPES
P00406238	Other	VA	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110001146 (Virginia)	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. Phillip D 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
Phillip D Granger, PA-C 5000 Cox Rd, Glen Allen, VA 23060-9263 Ph: (804) 968-5700	Phillip D Granger, PA-C 3432 Holland Rd, Virginia Beach, VA 23452-4846 Ph: (757) 468-1855

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Phillip D Granger, PA-C - Medicare Physician Assistant in Virginia Beach, VA