Dr Jackie Lynn Graham Iv, MD - Dermatology in Roswell, NM

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Dr Jackie Lynn Graham Iv, MD is a Dermatology physician based in Roswell, New Mexico. Dr Jackie Lynn Graham Iv is licensed to practice in New Mexico (license number 74-39) and his current practice location is 1600 Se Main St Ste E, Roswell, New Mexico. He can be reached at his office (for appointments etc.) via phone at (505) 623-8100.

NPI number for Dr Jackie Lynn Graham Iv is 1497851166 and his current mailing address is 1600 Se Main St Ste E, Roswell, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497851166.

Contact Information

Dr Jackie Lynn Graham Iv, MD
1600 Se Main St Ste E,
Roswell, NM 88203-5423
(505) 623-8100
(505) 623-8101

Map and Direction




Physician's Profile

Full NameDr Jackie Lynn Graham Iv
GenderMale
SpecialityDermatology
Location1600 Se Main St Ste E, Roswell, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1497851166
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 07/08/2008

Medical Identifiers

Medical identifiers for Dr Jackie Lynn Graham Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497851166NPI-NPPES
11023MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 74-39 (New Mexico)Primary

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 Jackie Lynn Graham Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jackie Lynn Graham Iv, MD
1600 Se Main St Ste E,
Roswell, NM 88203-5423

Ph: (505) 623-8100		Dr Jackie Lynn Graham Iv, MD
1600 Se Main St Ste E,
Roswell, NM 88203-5423

Ph: (505) 623-8100

Reviews and Comments


Dermatology Doctors in Roswell, NM

Amanda Pollat,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2335 N Main St, Roswell, NM 88201
Phone: 505-610-7052    

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.