Kellan Graham, DMD is a medicare enrolled "Dentist" provider in Biscoe, North Carolina. His current practice location is
131 Montgomery Xing, Biscoe, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 428-2048.
Kellan Graham is licensed to practice in North Carolina (license number 11933) 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 1780202937.
Healthcare Provider's Profile
Full Name | Kellan Graham |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 131 Montgomery Xing, Biscoe, North Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780202937
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 07/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204255425
- Enrollment ID: I20201007001385
Medical Identifiers
Medical identifiers for Kellan Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780202937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 11933 (North Carolina) | 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. Kellan Graham 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 |
Kellan Graham, DMD 250 Spring Lake Dr, Pinehurst, NC 28374-7055 Ph: (386) 365-2706 | Kellan Graham, DMD 131 Montgomery Xing, Biscoe, NC 27209-9592 Ph: (910) 428-2048 |
Reviews and Comments