Charles G Graves Iii, MD is a
Anesthesiology physician based in Hayden Lake, Idaho. Charles G Graves Iii is licensed to practice in Idaho (license number M5893) and his current practice location is 5925 E Mcmahon Rd, Hayden Lake, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 772-0915.
NPI number for Charles G Graves Iii is 1033172432 and his current mailing address is 5925 E Mcmahon Rd, Hayden Lake, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033172432.
Physician's Profile
| Full Name | Charles G Graves Iii |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 5925 E Mcmahon Rd, Hayden Lake, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033172432
- Provider Enumeration Date: 04/08/2006
- Last Update Date: 02/16/2015
Medical Identifiers
Medical identifiers for Charles G Graves Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033172432 | NPI | - | NPPES |
| 000325600 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | M5893 (Idaho) | 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. Charles G Graves Iii 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 |
|---|
Charles G Graves Iii, MD
5925 E Mcmahon Rd,
Hayden Lake, ID 83835-9587
Ph: (208) 772-0915 | Charles G Graves Iii, MD
5925 E Mcmahon Rd,
Hayden Lake, ID 83835-9587
Ph: (208) 772-0915 |
Reviews and Comments