Glenn E Graves, MD | |
4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 | |
(414) 281-0963 | |
(414) 281-0959 |
Full Name | Glenn E Graves |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 39 Years |
Location | 4600 W Loomis Rd Ste 310, Greenfield, Wisconsin |
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 |
---|---|---|---|
1780671677 | NPI | - | NPPES |
180020621 | Other | WI | RR MEDICARE |
391484998011 | Other | WI | BLUE CROSS |
391484998C | Other | WI | HUMANA |
0800065 | Other | WI | PRIMECARE |
391484998 | Other | WI | TAX ID |
31485900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 27890-020 (Wisconsin) | Secondary |
207WX0009X | Ophthalmology - Glaucoma Specialist | 27890-020 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ophthalmology Associates S C | 6204723869 | 7 |
Entity Name | Ophthalmology Associates S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063557890 PECOS PAC ID: 6204723869 Enrollment ID: O20040301000212 |
Mailing Address | Practice Location Address |
---|---|
Glenn E Graves, MD 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 | Glenn E Graves, MD 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 Ph: (414) 281-0963 |
Cole Rojas, Ophthalmology Medicare: Medicare Enrolled Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-588-3526 | |
Dr. Hart Beaman Moss, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0424 | |
Judith Becker Coran, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave Ste 101, Greenfield, WI 53221 Phone: 414-279-5579 Fax: 414-249-3299 | |
Joshua Agranat, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd Ste 240, Greenfield, WI 53221 Phone: 262-510-0300 Fax: 262-510-0500 | |
Dr. Amy M Moschell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave Ste 101, Greenfield, WI 53221 Phone: 414-279-5579 Fax: 414-249-3299 | |
Mark Daniel Larson, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0424 Fax: 414-281-0959 |