Dr Granville J Phillips, MD is a
Obstetrics & Gynecology physician based in Perryville, Missouri. Dr Granville J Phillips is licensed to practice in Missouri (license number 35059) and his current practice location is 212 Hospital Ln, Suite 205, Perryville, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 547-4899.
NPI number for Dr Granville J Phillips is 1619951704 and his current mailing address is 212 Hospital Ln, Suite 205, Perryville, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619951704.
Physician's Profile
| Full Name | Dr Granville J Phillips |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 212 Hospital Ln, Perryville, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619951704
- Provider Enumeration Date: 12/01/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Granville J Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619951704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 35059 (Missouri) | 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. Dr Granville J Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Granville J Phillips, MD
212 Hospital Ln, Suite 205,
Perryville, MO 63775-1276
Ph: (573) 547-4899 | Dr Granville J Phillips, MD
212 Hospital Ln, Suite 205,
Perryville, MO 63775-1276
Ph: (573) 547-4899 |
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