Charisse Graham, MD in Lutz, FL - Medicare Pediatrics

Charisse Graham, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Lutz, Florida. Her current practice location is 1212 E Bearss Ave, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 397-5300.

Charisse Graham is licensed to practice in Alabama (license number 39359) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497288799.

Contact Information

	Charisse Graham, MD
	1212 E Bearss Ave, Lutz, FL 33549
	(813) 397-5300
	Not Available

Map and Direction

Physician's Profile

Full Name	Charisse Graham
Gender	Female
Speciality	Pediatrics - Adolescent Medicine
Location	1212 E Bearss Ave, Lutz, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497288799
Provider Enumeration Date: 04/04/2017
Last Update Date: 07/08/2024

Medicare PECOS Information:

PECOS PAC ID: 4183047079
Enrollment ID: I20200710001689

Medical Identifiers

Medical identifiers for Charisse Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497288799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	22673 (Hawaii)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080A0000X	Pediatrics - Adolescent Medicine	39359 (Alabama)	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. Charisse Graham allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Aids Action Coalition Of Huntsville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770635633 PECOS PAC ID: 9032167069 Enrollment ID: O20050106000612

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. Charisse 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
Charisse Graham, MD 1600 7th Ave S # Cppi-310, Birmingham, AL 35233-1711 Ph: (205) 934-4531	Charisse Graham, MD 1212 E Bearss Ave, Lutz, FL 33549 Ph: (813) 397-5300

Reviews and Comments

Pediatrics Doctors in Lutz, FL

Sonia Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23026 State Road 54, Lutz, FL 33549 Phone: 813-751-3131
Saumeel Rashmikant Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694
Dr. Payal Pritesh Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18928 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694
Dr. Neil Hans Surti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24630 State Road 54, Building 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157
Dr. Frances Morales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24630 State Road 54, Bldg. 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157
Kristina Black, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679
Jamie A Mallah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4683 Van Dyke Rd, Lutz, FL 33558 Phone: 813-968-7171 Fax: 813-968-7282

Charisse Graham, MD - Medicare Pediatrics in Lutz, FL