Dr Blane A Graves, MD | |
1408 College Dr, Texarkana, TX 75503-3534 | |
(903) 794-0515 | |
(903) 793-8000 |
Full Name | Dr Blane A Graves |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 1408 College Dr, Texarkana, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124010301 | NPI | - | NPPES |
152744201 | Medicaid | TX | |
430909809 | Other | TX | NOVASYS |
5L641 | Other | TX | ARKANSAS BLUE CROSS BLUE SHIELD |
8K1368 | Other | TX | TEXAS BLUE CROSS BLUE SHIELD |
020900066-00 | Other | TX | QUALCHOICE |
080189370 | Other | TX | RAILROAD MEDICARE |
142180001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L4402 (Texas) | Primary |
207Q00000X | Family Medicine | E2697 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wadley Regional Medical Center | Texarkana, TX | Hospital |
Christus St Michael Health System | Texarkana, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Collom And Carney Clinic Association | 1355249541 | 94 |
Collom And Carney Clinic Association | 1355249541 | 94 |
Entity Name | Collom & Carney Clinic Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046 |
Mailing Address | Practice Location Address |
---|---|
Dr Blane A Graves, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 | Dr Blane A Graves, MD 1408 College Dr, Texarkana, TX 75503-3534 Ph: (903) 794-0515 |
Wilmer Lynn Reep, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2931 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-3200 Fax: 903-614-3525 | |
Monica E. Townsend, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Scott W Wyrick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Potomac Ave, Texarkana, TX 75503 Phone: 903-792-3787 Fax: 903-792-0446 | |
Mr. Jeffory Ford Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Phillip Pace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3502 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5270 Fax: 903-614-5279 | |
Dr. John J Harris, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1724 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-306-0838 Fax: 903-306-1286 |