Eric J Graham, MD | |
15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
(228) 230-2663 | |
(228) 679-3038 |
Full Name | Eric J Graham |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 28 Years |
Location | 15476 Dedeaux Rd, Gulfport, Mississippi |
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 |
---|---|---|---|
1558462218 | NPI | - | NPPES |
00126157 | Medicaid | MS | |
P00285790 | Other | MS | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 17733 (Mississippi) | Primary |
174400000X | Specialist | 17733 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Singing River Health System | Pascagoula, MS | Hospital |
Garden Park Medical Center | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bienville Orthopaedic Specialists, Llc | 0547155178 | 46 |
Oal Care Of Al, Llc | 1254668031 | 10 |
Entity Name | Bienville Orthopaedic Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689605834 PECOS PAC ID: 0547155178 Enrollment ID: O20040220000834 |
Entity Name | Oal Care Of Al, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720540693 PECOS PAC ID: 1254668031 Enrollment ID: O20210422000100 |
Mailing Address | Practice Location Address |
---|---|
Eric J Graham, MD 6300 E Lake Blvd, Suite 301, Vancleave, MS 39565-6770 Ph: (228) 230-2663 | Eric J Graham, MD 15476 Dedeaux Rd, Gulfport, MS 39503-2637 Ph: (228) 230-2663 |
Philip D Myers, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Dr. Timothy D Jackson, MD, SA-C Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-304-9436 | |
Dr. William Lewis Seidensticker, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Bayou Pl, Gulfport, MS 39503 Phone: 222-889-6708 | |
Dr. Eric Jude Letonoff, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd Ste 120, Gulfport, MS 39503 Phone: 228-205-6825 Fax: 228-831-8782 | |
Dr. Inez M Kelleher, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Ste 450, Gulfport, MS 39503 Phone: 228-867-5012 Fax: 228-867-5262 | |
Joseph Tyler Cox, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15476 Dedeaux Rd, Gulfport, MS 39503 Phone: 228-230-2663 Fax: 228-546-3257 |