David L Graham, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Enid, Oklahoma. He went to Stanford University School Of Medicine and graduated in 1977 and has 48 years of diverse experience with area of expertise as Dermatology. His current practice location is
702 W Broadway Ave, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 234-4861.
David L Graham is licensed to practice in Oklahoma (license number 20601) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912902842.
Physician's Profile
Full Name | David L Graham |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 48 Years |
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Location | 702 W Broadway Ave, Enid, Oklahoma |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David L Graham attended and graduated from Stanford University School Of Medicine in 1977
NPI Data:
- NPI Number: 1912902842
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 09/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749453082
- Enrollment ID: I20111101000517
Medical Identifiers
Medical identifiers for David L Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912902842 | NPI | - | NPPES |
1912902842 | Other | OK | NPI |
1284924837 | Other | OK | NPI |
1284924837 | Other | | BLUE CROSS |
070016120 | Other | OK | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 20601 (Oklahoma) | 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. David L Graham allows following entities to bill medicare on his behalf.
Entity Name | Graham Dermatology Center, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285924837 PECOS PAC ID: 0941473284 Enrollment ID: O20111101000422 |
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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. David L 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 |
David L Graham, MD 307 E Danforth Ave, Suite 154, Edmond, OK 73034-4487 Ph: (405) 216-0100 | David L Graham, MD 702 W Broadway Ave, Enid, OK 73701-3845 Ph: (580) 234-4861 |
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