Joseph A Graham, DO | |
1340 Broad Avenue, Suite 220, Gulfport, MS 39501 | |
(228) 575-1300 | |
(228) 867-6423 |
Full Name | Joseph A Graham |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 25 Years |
Location | 1340 Broad Avenue, 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 |
---|---|---|---|
1225096860 | NPI | - | NPPES |
2977616 | Other | FL | CIGNA PROVIDER # |
53064 | Other | FL | BCBS PROVIDER # |
5108802 | Medicaid | MS | |
7616821 | Other | FL | AETNA PROVIDER # |
276169600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 059594 (Florida) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 20350 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital At Gulfport | 2466524012 | 385 |
Entity Name | Memorial Hospital At Gulfport |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
Mailing Address | Practice Location Address |
---|---|
Joseph A Graham, DO Po Box 1810, Gulfport, MS 39502-1810 Ph: (228) 575-1300 | Joseph A Graham, DO 1340 Broad Avenue, Suite 220, Gulfport, MS 39501 Ph: (228) 575-1300 |
Michael E Moses, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15190 Community Rd, Suite250, Gulfport, MS 39503 Phone: 228-539-8100 | |
David Jason Bailey, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1312 44th Ave, Gulfport, MS 39501 Phone: 228-539-5858 | |
Amy Lynn Scheller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Gulfport, MS 39503 Phone: 228-539-0489 | |
Larry H Killebrew, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-865-3151 Fax: 228-867-4124 | |
Donald Allan Balder, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-265-5945 Fax: 228-284-1580 | |
Kristine Marie Carter, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Broad Ave, Suite 240, Gulfport, MS 39501 Phone: 228-575-1200 Fax: 228-575-1205 |