Nathan Lee Granneman, MD in Columbia, MO - Medicare Preventive Medicine

Nathan Lee Granneman, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Columbia, Missouri. His current practice location is 401 N Keene St, Columbia, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 876-1600.

Nathan Lee Granneman is licensed to practice in Missouri (license number 2012023532) 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 1689960171.

Contact Information

	Nathan Lee Granneman, MD
	401 N Keene St, Columbia, MO 65201-6625
	(573) 876-1600
	(573) 876-1606

Map and Direction

Physician's Profile

Full Name	Nathan Lee Granneman
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	401 N Keene St, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689960171
Provider Enumeration Date: 06/22/2011
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9436384542
Enrollment ID: I20140306000407

Medical Identifiers

Medical identifiers for Nathan Lee Granneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689960171	NPI	-	NPPES
200008322	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	2012023532 (Missouri)	Primary
207QS0010X	Family Medicine - Sports Medicine	2012023532 (Missouri)	Secondary

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. Nathan Lee Granneman allows following entities to bill medicare on his behalf.

Entity Name	Boone Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535

Entity Name	Nova Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366946832 PECOS PAC ID: 7911262787 Enrollment ID: O20180525001358

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. Nathan Lee Granneman 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
Nathan Lee Granneman, MD 401 N Keene St, Columbia, MO 65201-6625 Ph: (573) 876-1600	Nathan Lee Granneman, MD 401 N Keene St, Columbia, MO 65201-6625 Ph: (573) 876-1600

Reviews and Comments

Preventive Medicine Doctors in Columbia, MO

Dr. Janie Rhea Vale, Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1012 Bourn Ave, Columbia, MO 65203 Phone: 573-446-2993
Dr. Abram John Elsenraat, M.D Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-6262
Dr. Eddie Wayne Runde, M.D. Preventive Medicine Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-5994
Michael Szewczyk, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1701 E Broadway, Suite 204, Columbia, MO 65201 Phone: 573-815-2667
Dr. Richard W Stahlhut, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 194 W Green Meadows Rd, Columbia, MO 65203 Phone: 585-752-8883
Dr. Robert F Thomas, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 3700 I 70 Dr Se, Suite 106, Columbia, MO 65201 Phone: 573-256-7637 Fax: 573-817-3103
Dr. Osman Amin, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 2003 W Broadway, Columbia, MO 65203 Phone: 573-256-7637 Fax: 573-817-3103

Nathan Lee Granneman, MD - Medicare Preventive Medicine in Columbia, MO