Dr Devan Griner, MD is a medicare enrolled "Plastic Surgery" physician in Provo, Utah. He went to University Of Utah School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Peak Plastic Surgery, Pllc and his current practice location is
1055 N 300 W Ste 303, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 702-9191.
Dr Devan Griner is licensed to practice in Utah (license number 374716-1205) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780895755.
Physician's Profile
Full Name | Dr Devan Griner |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 18 Years |
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Location | 1055 N 300 W Ste 303, Provo, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Devan Griner attended and graduated from University Of Utah School Of Medicine in 2006
NPI Data:
- NPI Number: 1780895755
- Provider Enumeration Date: 05/24/2007
- Last Update Date: 03/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 6800032426
- Enrollment ID: I20180905003894
Medical Identifiers
Medical identifiers for Dr Devan Griner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780895755 | NPI | - | NPPES |
103I933353 | Other | | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 374716-1205 (Utah) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 374716-1205 (Utah) | Secondary |
208200000X | Plastic Surgery | 374716-1205 (Utah) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Peak Plastic Surgery, Pllc | 6901202449 | 3 |
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 Devan Griner allows following entities to bill medicare on his behalf.
Entity Name | Peak Ent Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346489036 PECOS PAC ID: 4284781543 Enrollment ID: O20090402000646 |
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Entity Name | Cranio Ninja Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477041101 PECOS PAC ID: 3870915887 Enrollment ID: O20200622000488 |
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Entity Name | Peak Plastic Surgery, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477041101 PECOS PAC ID: 6901202449 Enrollment ID: O20210908001954 |
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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. Dr Devan Griner 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 |
Dr Devan Griner, MD 1055 N 300 W Ste 303, Provo, UT 84604-3373 Ph: (801) 702-9191 | Dr Devan Griner, MD 1055 N 300 W Ste 303, Provo, UT 84604-3373 Ph: (801) 702-9191 |
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