Dr Jack Graham, - Medicare Emergency Medicine in Boardman, OH

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Dr Jack Graham, is a medicare enrolled "Emergency Medicine" physician in Boardman, Ohio. His current practice location is 8401 Market Street, Department Of Medical Education, Boardman, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 729-7960.

Dr Jack Graham is licensed to practice in Ohio (license number 35.146959) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306406863.

Contact Information

Dr Jack Graham,
8401 Market Street, Department Of Medical Education,
Boardman, OH 44512
(330) 729-7960
Not Available

Map and Direction




Physician's Profile

Full NameDr Jack Graham
GenderMale
SpecialityEmergency Medicine
Location8401 Market Street, Boardman, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306406863
  • Provider Enumeration Date: 06/17/2019
  • Last Update Date: 08/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012339559
  • Enrollment ID: I20230922001122

Medical Identifiers

Medical identifiers for Dr Jack Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306406863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 23856 (New Hampshire)Secondary
207P00000XEmergency Medicine 35.146959 (Ohio)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Graham allows following entities to bill medicare on his behalf.
Entity NameMary Hitchcock Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023092053
PECOS PAC ID: 4486561164
Enrollment ID: O20031126000258
Entity NameDartmouth-hitchcock Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548210198
PECOS PAC ID: 4183537509
Enrollment ID: O20040809000442
Entity NameAlice Peck Day Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803495
PECOS PAC ID: 6103737531
Enrollment ID: O20040927000296
Entity NameAlice Peck Day Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003803495
PECOS PAC ID: 6103737531
Enrollment ID: O20061104000184

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. Dr Jack 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 AddressPractice Location Address
Dr Jack Graham,
8401 Market Street, Department Of Medical Education,
Boardman, OH 44512

Ph: () -		Dr Jack Graham,
8401 Market Street, Department Of Medical Education,
Boardman, OH 44512

Ph: (330) 729-7960

Reviews and Comments


Emergency Medicine Doctors in Boardman, OH

Christina Brooke Walker, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8423 Market St, Boardman, OH 44512
Phone: 330-729-8757    Fax: 330-729-7616
Dr. Alexander William Maione, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-2929    
Allyson Dryer,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-2929    
Craig Mcdonough, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-8757    
Norhan Sharaf, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 954-260-2929    
William K Nowotny, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6505 Market St, Boardman, OH 44512
Phone: 330-726-2100    
Dr. Katherine Mitry, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 8401 Market St, Boardman, OH 44512
Phone: 330-729-2929    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.