David S Graham, MD | |
811 E Parrish Ave, Owensboro, KY 42303-3258 | |
(270) 688-2163 | |
(812) 471-6650 |
Full Name | David S Graham |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 811 E Parrish Ave, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669461794 | NPI | - | NPPES |
64229370 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 22937 (Kentucky) | Primary |
Entity Name | Owensboro Pathology Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497744718 PECOS PAC ID: 2567453905 Enrollment ID: O20040524000309 |
Mailing Address | Practice Location Address |
---|---|
David S Graham, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | David S Graham, MD 811 E Parrish Ave, Owensboro, KY 42303-3258 Ph: (270) 688-2163 |
Ritchie L Clark, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 811 E Parrish Ave, Owensboro, KY 42303 Phone: 270-688-2936 | |
Dr. Sarah Ann Higdon, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-688-2163 | |
Dr. Charles Jason Mills, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1201 Pleasant Valley Rd, Owensboro, KY 42303 Phone: 270-417-6525 Fax: 270-417-6509 |