Mr John Alexander Eric Graham, PSYCHOLOGIST is a
Psychologist based in Bemidji, Minnesota. Mr John Alexander Eric Graham is licensed to practice in Minnesota (license number LP2659) and his current practice location is
403 4th St Nw Ste 110, Bemidji, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 586-4057.
NPI number for Mr John Alexander Eric Graham is 1023152667 and his current mailing address is 485 Hwy 71 N, Hines, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023152667.
Healthcare Provider's Profile
| Full Name | Mr John Alexander Eric Graham |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 403 4th St Nw Ste 110, Bemidji, Minnesota |
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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: 1023152667
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr John Alexander Eric Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023152667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301343 (Minnesota) | Primary |
| 103T00000X | Psychologist | LP2659 (Minnesota) | 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. Mr John Alexander Eric Graham 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 |
|---|
Mr John Alexander Eric Graham, PSYCHOLOGIST
485 Hwy 71 N,
Hines, MN 56647-5798
Ph: (218) 586-4057 | Mr John Alexander Eric Graham, PSYCHOLOGIST
403 4th St Nw Ste 110,
Bemidji, MN 56601-3155
Ph: (218) 586-4057 |
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