Kevin T Graham, MD | |
1264 Weaver Dr, Granville, OH 43023-1257 | |
(220) 564-1950 | |
(220) 564-1951 |
Full Name | Kevin T Graham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 1264 Weaver Dr, Granville, Ohio |
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 |
---|---|---|---|
1457559692 | NPI | - | NPPES |
3114105 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35.096582 (Ohio) | Secondary |
207Q00000X | Family Medicine | 35.096582 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Licking Memorial Hospital | Newark, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Ohio Primary Care Physicians, Inc. | 2769383785 | 490 |
Entity Name | Central Ohio Primary Care Physicians, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194705194 PECOS PAC ID: 2769383785 Enrollment ID: O20040114000204 |
Mailing Address | Practice Location Address |
---|---|
Kevin T Graham, MD 1264 Weaver Dr, Granville, OH 43023-1257 Ph: (220) 564-1950 | Kevin T Graham, MD 1264 Weaver Dr, Granville, OH 43023-1257 Ph: (220) 564-1950 |
Dr. Donald Albert Deshetler Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Newark Granville Rd, Suite 100, Granville, OH 43023 Phone: 740-587-0087 Fax: 740-587-0084 | |
Kalpana Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Weaver Dr, Granville, OH 43023 Phone: 220-564-1961 Fax: 220-564-1959 | |
David O. Parker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2790 Columbus Rd, Granville, OH 43023 Phone: 740-281-2576 Fax: 740-281-2575 | |
Dr. Michael D Barth, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1264 Weaver Dr, Granville, OH 43023 Phone: 220-564-1940 Fax: 220-564-1941 | |
Angela Eubanks, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1945 Newark Granville Rd, Granville, OH 43023 Phone: 740-587-0870 | |
Jonathan Hollister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 | |
Dr. Terry Scott Slayman, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 590 Newark Granville Rd, Granville, OH 43023 Phone: 888-531-7444 Fax: 888-531-7444 |