Dwight Graham, MD | |
11 Vanderbilt Park Dr, Asheville, NC 28803-1700 | |
(828) 213-1740 | |
(828) 213-1742 |
Full Name | Dwight Graham |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 11 Vanderbilt Park Dr, Asheville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750361242 | NPI | - | NPPES |
891260W | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 200000806 (North Carolina) | Primary |
2086S0120X | Surgery - Pediatric Surgery | 200000806 (North Carolina) | Secondary |
Entity Name | Mission Health Community Multispecialty Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
Mailing Address | Practice Location Address |
---|---|
Dwight Graham, MD Po Box 602373, Charlotte, NC 28260-2373 Ph: (828) 651-6516 | Dwight Graham, MD 11 Vanderbilt Park Dr, Asheville, NC 28803-1700 Ph: (828) 213-1740 |
William Alan Bradshaw, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Medical Park Dr, Asheville, NC 28803 Phone: 828-252-3366 Fax: 828-258-0891 | |
Darren P Bryant, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Suite 4200, Asheville, NC 28801 Phone: 828-213-1995 | |
John P Henretta, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 222 Asheland Ave, Asheville, NC 28801 Phone: 828-213-9090 Fax: 828-213-9091 | |
Dr. Kathryn Tulley Decker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1201 Patton Ave, Asheville, NC 28806 Phone: 828-252-8759 Fax: 828-255-8028 | |
William Shillinglaw, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 509 Biltmore Ave, Asheville, NC 28801 Phone: 828-213-1995 Fax: 828-213-1992 | |
Dr. Emma Goldsmith Rooney, MD Surgery Medicare: Medicare Enrolled Practice Location: 222 Asheland Ave, Asheville, NC 28801 Phone: 828-213-9090 | |
Michael J Schurr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Suite 4200, Asheville, NC 28801 Phone: 828-213-1994 |