Mr Marvin Graham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in New London, Connecticut. His current practice location is
365 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 442-0711.
Mr Marvin Graham is licensed to practice in Connecticut (license number 8114) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669930178.
Physician's Profile
| Full Name | Mr Marvin Graham |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 365 Montauk Ave, New London, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Marvin Graham attended and graduated from in
NPI Data:
- NPI Number: 1669930178
- Provider Enumeration Date: 03/05/2019
- Last Update Date: 12/21/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Marvin Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669930178 | NPI | - | NPPES |
| 1669930178 | Medicaid | CT | |
| 1669930178 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 8114 (Connecticut) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 8114 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Marvin Graham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marvin Graham, CRNA
6305 Maple Tree Ln,
East Lyme, CT 06333-1693
Ph: (305) 778-9477 | Mr Marvin Graham, CRNA
365 Montauk Ave,
New London, CT 06320-4700
Ph: (860) 442-0711 |
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