Daniel John Granville, DPM in Clackamas, OR - Medicare Podiatrist Provider

Daniel John Granville, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Clackamas, Oregon. His current practice location is 10100 Se Sunnyside Rd, Clackamas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 786-8435.

Daniel John Granville is licensed to practice in Oregon (license number DP00222) 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 1174623714.

Contact Information

	Daniel John Granville, DPM
	10100 Se Sunnyside Rd, Clackamas, OR 97015-8970
	(503) 786-8435
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Daniel John Granville
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	10100 Se Sunnyside Rd, Clackamas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174623714
Provider Enumeration Date: 09/24/2006
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5294824447
Enrollment ID: I20071211000349

Medical Identifiers

Medical identifiers for Daniel John Granville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174623714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO00000601 (Washington)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	DP00222 (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. Daniel John Granville allows following entities to bill medicare on his behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Daniel John 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 Address	Practice Location Address
Daniel John Granville, DPM 2551 Beacon Hill Dr, West Linn, OR 97068-3689 Ph: (503) 722-2466	Daniel John Granville, DPM 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 786-8435

Reviews and Comments

Podiatrist in Clackamas, OR

Clackamas Foot & Ankle Clinic, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 8800 Se Sunnyside Rd, Suite 105n, Clackamas, OR 97015 Phone: 503-652-9671
Zachary Croy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000
Dr. Joseph David Neary, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435
Dr. Thuy-trang Lam, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8800 Se Sunnyside Rd # 105n, Clackamas, OR 97015 Phone: 503-652-9671
Dr. James Michael Konieczny, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Kaiser Permanente Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-652-2880
Dr. Trent Corpron, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880

Daniel John Granville, DPM - Medicare Podiatrist in Clackamas, OR