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JACQUELINE GRANESE M.D. NPI 1649479460


NPI Information

NPI: 1649479460
Provider Name: JACQUELINE GRANESE, M.D.
Classification: Dermatology - 207ND0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
1065 ASHLEY ST STE 200
BOWLING GREEN, KY
ZIP 42103
Phone: (270) 843-3376
Get Directions

Jacqueline Granese, M.D. is a dermatopathology dermatology in Bowling Green, KY with 24 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Jacqueline Granese, M.D. NPI is 1649479460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1065 ASHLEY ST STE 200
BOWLING GREEN, KY
ZIP 42103-401
Phone: (270) 843-3376
Fax: (270) 780-0496

The NPI 1649479460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Hemoglobin a1c level (HCPCS:83036)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Special stained specimen slides to examine tissue (HCPCS:88341)

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathology42560KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100072860MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.