Dr Corey French Graham, MD | |
1000 Provident Dr, Suite C, Warsaw, IN 46580-3255 | |
(574) 267-8728 | |
(574) 269-3470 |
Full Name | Dr Corey French Graham |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 16 Years |
Location | 1000 Provident Dr, Warsaw, Indiana |
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 |
---|---|---|---|
1316109317 | NPI | - | NPPES |
262490014 | Other | IN | MEDICARE PTAN |
201246970 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01074316A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kosciusko Community Hospital | Warsaw, IN | Hospital |
Lutheran Hospital Of Indiana | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kosciusko Medical Group Llc | 5496809956 | 50 |
Entity Name | Kosciusko Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398 |
Mailing Address | Practice Location Address |
---|---|
Dr Corey French Graham, MD 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 Ph: (260) 434-6071 | Dr Corey French Graham, MD 1000 Provident Dr, Suite C, Warsaw, IN 46580-3255 Ph: (574) 267-8728 |
Mary Otoo, MD Surgery Medicare: Medicare Enrolled Practice Location: 2101 Dubois Dr, Warsaw, IN 46580 Phone: 574-267-3200 Fax: 574-372-7649 | |
Dr. Kishan T Kishan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-3420 Fax: 574-269-2234 | |
Patrick B. Ilada, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Provident Dr Ste C, Warsaw, IN 46580 Phone: 574-267-8728 Fax: 574-269-3470 | |
Dr. Adria Lynn Ford, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medpark Drive, Suite C, Warsaw, IN 46580 Phone: 574-267-8728 Fax: 574-269-3470 |