Jack M Graham, MD | |
1500 S Main St, Fort Worth, TX 76104-4917 | |
(817) 702-1166 | |
(817) 702-1405 |
Full Name | Jack M Graham |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 46 Years |
Location | 1500 S Main St, Fort Worth, Texas |
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 |
---|---|---|---|
1205801347 | NPI | - | NPPES |
8H3360 | Other | TX | BCBS |
139366218 | Medicaid | TX | |
139366223 | Medicaid | TX | |
4227216 | Other | TX | AETNA |
139366219 | Medicaid | TX | |
10028874 | Other | TX | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | F1600 (Texas) | Secondary |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | F1600 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acclaim Physician Group Inc | 4587963582 | 442 |
Entity Name | Fetal Care Consultants, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578883187 PECOS PAC ID: 0749466175 Enrollment ID: O20110518000787 |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Jack M Graham, MD Po Box 100186, Fort Worth, TX 76185-0186 Ph: (817) 731-7771 | Jack M Graham, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1166 |
Dr. Robert Arthur Burke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7100 Oakmont Blvd, Suite 104, Fort Worth, TX 76132 Phone: 817-423-0600 | |
Dr. Cynthia Lynn Hartman, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10840 Texas Health Trl Ste 110, Fort Worth, TX 76244 Phone: 682-212-6437 Fax: 682-212-9438 | |
Dr. Benjamin Aude Mcwilliams, M. D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6659 Gascony Pl, Fort Worth, TX 76132 Phone: 817-423-9653 | |
Lydia A Luna, M.D., P. A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1307 8th Ave, #602, Fort Worth, TX 76104 Phone: 817-877-1848 Fax: 817-877-3716 | |
Jeffrey M Hantes, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1327 Hemphill St., Suite 100, Fort Worth, TX 76104 Phone: 817-731-3936 Fax: 817-782-0206 | |
Dr. Shashi P Rastogi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001. 12th Ave., 174, Fort Worth, TX 76104 Phone: 817-348-0701 Fax: 817-348-0702 | |
Courtney Walters, M.D, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3025 N Tarrant Pkwy Ste 150, Fort Worth, TX 76177 Phone: 817-416-2229 Fax: 817-416-3667 |