Deniese Elaine Jensen Granville, DPM - Medicare Podiatrist in Lake Oswego, OR

Deniese Elaine Jensen Granville, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lake Oswego, Oregon. Her current practice location is 55 S State St Ste 3220, Lake Oswego, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 635-7742.

Deniese Elaine Jensen Granville is licensed to practice in Oregon (license number DP00223) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134291438.

Contact Information

Deniese Elaine Jensen Granville, DPM
55 S State St Ste 3220,
Lake Oswego, OR 97034-3975
(503) 635-7742
(503) 635-8495



Healthcare Provider's Profile

Full NameDeniese Elaine Jensen Granville
GenderFemale
SpecialityPodiatrist - Foot & Ankle Surgery
Location55 S State St Ste 3220, Lake Oswego, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134291438
  • Provider Enumeration Date: 11/14/2006
  • Last Update Date: 04/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1254531056
  • Enrollment ID: I20101215001145

Medical Identifiers

Medical identifiers for Deniese Elaine Jensen Granville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134291438NPI-NPPES
038377MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery DP00223 (Oregon)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. Deniese Elaine Jensen Granville allows following entities to bill medicare on her behalf.
Provider NameKaiser Foundation Health Plan Of The Northwest
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Deniese Elaine Jensen Granville 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
Deniese Elaine Jensen Granville, DPM
55 S State St Ste 3220,
Lake Oswego, OR 97034-3975

Ph: (503) 635-7742
Deniese Elaine Jensen Granville, DPM
55 S State St Ste 3220,
Lake Oswego, OR 97034-3975

Ph: (503) 635-7742

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Podiatrist in Lake Oswego, OR

Dr. Mark Thomas Hastings, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 16316 Bryant Rd, Lake Oswego, OR 97035
Phone: 503-699-8220    Fax: 503-699-7949
Oregon Institute Of Foot Care Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034
Phone: 503-635-7742    
Jon Todd Fitzgerald, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 543 3rd St, Ste C1, Lake Oswego, OR 97034
Phone: 503-636-9656    Fax: 503-636-9657
Dr. Viengkeo T Noimany, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 18231 Siena Dr, Lake Oswego, OR 97034
Phone: 503-702-3803    
Myles Knutson, Dpm, Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 311 B Ave Ste B, Lake Oswego, OR 97034
Phone: 503-804-7579    Fax: 503-210-0364
Jerry J Yoon, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 4000 Kruse Way Pl Ste 220, Bldg 2, Lake Oswego, OR 97035
Phone: 503-636-9656    Fax: 503-636-9657

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