Dr Blake D Graham, MD - Medicare Pediatrics in Ft Carson, CO

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Dr Blake D Graham, MD is a medicare enrolled "Pediatrics" physician in Ft Carson, Colorado. His current practice location is 1650 Cochrane Cir, Pediatrics, Ft Carson, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 526-7653.

Dr Blake D Graham is licensed to practice in Colorado (license number DR.0054808) 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 1639130180.

Contact Information

Dr Blake D Graham, MD
1650 Cochrane Cir, Pediatrics,
Ft Carson, CO 80913-4603
(719) 526-7653
Not Available

Map and Direction




Physician's Profile

Full NameDr Blake D Graham
GenderMale
SpecialityPediatrics
Location1650 Cochrane Cir, Ft Carson, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639130180
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4385036458
  • Enrollment ID: I20220214000644

Medical Identifiers

Medical identifiers for Dr Blake D Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639130180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DR.0054808 (Colorado)Primary
208000000XPediatrics 274742-1205 (Utah)Secondary

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. Dr Blake D Graham allows following entities to bill medicare on his behalf.
Entity NameLutheran Hospital Association Of The San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318
Entity NameValley View Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730897109
PECOS PAC ID: 1850294778
Enrollment ID: O20040129000027

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. Dr Blake D 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 AddressPractice Location Address
Dr Blake D Graham, MD
1650 Cochrane Cir,
Colorado Springs, CO 80913-4613

Ph: (719) 526-9085		Dr Blake D Graham, MD
1650 Cochrane Cir, Pediatrics,
Ft Carson, CO 80913-4603

Ph: (719) 526-7653

Reviews and Comments


Pediatrics Doctors in Ft Carson, CO

Dr. Teodora Thompson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1650 Cochrane Cir Unit Meddac, Ft Carson, CO 80913
Phone: 719-526-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.