Victor Kimball Grandt, DPM in Visalia, CA - Medicare Podiatrist Provider

Victor Kimball Grandt, DPM is a medicare enrolled "Podiatrist" provider in Visalia, California. His current practice location is 4946 W Mineral King, Visalia, California. You can reach out to his office (for appointments etc.) via phone at (559) 624-1405.

Victor Kimball Grandt is licensed to practice in Illinois (license number 016005143) 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 1396745659.

Contact Information

	Victor Kimball Grandt, DPM
	4946 W Mineral King, Visalia, CA 93291
	(559) 624-1405
	(559) 624-1746

Healthcare Provider's Profile

Full Name	Victor Kimball Grandt
Gender	Male
Speciality	Podiatrist
Location	4946 W Mineral King, Visalia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396745659
Provider Enumeration Date: 07/28/2005
Last Update Date: 10/21/2011

Medicare PECOS Information:

PECOS PAC ID: 0749368876
Enrollment ID: I20080415000439

Medical Identifiers

Medical identifiers for Victor Kimball Grandt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396745659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	016005143 (Illinois)	Primary
213E00000X	Podiatrist	E4724 (California)	Secondary

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. Victor Kimball Grandt 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
Victor Kimball Grandt, DPM 4946 W Mineral King, Visalia, CA 93291 Ph: (559) 624-1405	Victor Kimball Grandt, DPM 4946 W Mineral King, Visalia, CA 93291 Ph: (559) 624-1405

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Podiatrist in Visalia, CA

Flaherty Footcare Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2914 W Main St, Visalia, CA 93291 Phone: 559-627-2849 Fax: 559-627-9772
Dr. Christopher P Orr, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 5211 W Goshen Ave # 306, Visalia, CA 93291 Phone: 559-372-0568
Terry Blake Nelson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2914 W Main St, Visalia, CA 93291 Phone: 559-627-2849
Loreen M Flaherty, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2914 W Main St, Visalia, CA 93291 Phone: 559-627-2849 Fax: 559-627-9772
Dr. Jeffrey Lars Hagen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5400 W Hillsdale Ave, Visalia, CA 93291 Phone: 559-738-7500 Fax: 559-734-2055
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Bay Area Surgical Specialists Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2914 W Main St, Visalia, CA 93291 Phone: 559-627-2849 Fax: 559-627-9772

Victor Kimball Grandt, DPM - Medicare Podiatrist in Visalia, CA