Dr Leroy Graham Jr, MD | |
15408 Warwick Blvd, Newport News, VA 23608-1576 | |
(757) 890-0012 | |
(757) 890-0013 |
Full Name | Dr Leroy Graham Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 15408 Warwick Blvd, Newport News, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043325434 | NPI | - | NPPES |
76157 | Other | VA | OPTIMA |
2126544 | Other | VA | MDIPA |
145933 | Other | VA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101229881 (Virginia) | Primary |
Entity Name | Salters Creek Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619016375 PECOS PAC ID: 5991742140 Enrollment ID: O20050411000209 |
Mailing Address | Practice Location Address |
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Dr Leroy Graham Jr, MD 15408 Warwick Blvd, Newport News, VA 23608-1576 Ph: (757) 890-0012 | Dr Leroy Graham Jr, MD 15408 Warwick Blvd, Newport News, VA 23608-1576 Ph: (757) 890-0012 |
Dr. Daniel Jason Frasca, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Neama Komishani Setambar I, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Jefferson Ave Ste A, Newport News, VA 23601 Phone: 703-851-9820 | |
Catherine Wilson, Family Medicine Medicare: Medicare Enrolled Practice Location: 12200 Warwick Blvd Ste 110, Newport News, VA 23601 Phone: 757-534-9988 | |
Dr. James Edward Burton Iii, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10852 Warwick Boulevard, Hilton Family Practice, Newport News, VA 23601 Phone: 757-594-3602 | |
Kent E. Willyard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12695 Mcmanus Blvd, Bldg 6, Suite A, Newport News, VA 23602 Phone: 757-969-1755 Fax: 757-969-1722 | |
Dr. Jeffrey Harris, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Jefferson Ave, Suite A, Newport News, VA 23601 Phone: 757-594-3800 Fax: 757-594-3818 | |
Dr. Toti Palma Gonzalo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 716 Denbigh Blvd, Suite A-1, Newport News, VA 23608 Phone: 757-872-6620 Fax: 757-877-5450 |