Mr Jason Randall Graham, DO in Oklahoma City, OK

Mr Jason Randall Graham, DO is a medicare enrolled "Pediatrics" physician in Oklahoma City, Oklahoma. His current practice location is 4023 Nw 10th St, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 632-6688.

Mr Jason Randall Graham is licensed to practice in Oklahoma (license number 4192) 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 1841202298.

Contact Information

	Mr Jason Randall Graham, DO
	4023 Nw 10th St, Oklahoma City, OK 73107-6038
	(405) 632-6688
	(844) 689-9671

Map and Direction

Physician's Profile

Full Name	Mr Jason Randall Graham
Gender	Male
Speciality	Pediatrics
Location	4023 Nw 10th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841202298
Provider Enumeration Date: 08/13/2006
Last Update Date: 03/14/2024

Medicare PECOS Information:

PECOS PAC ID: 2466457254
Enrollment ID: I20160818000603

Medical Identifiers

Medical identifiers for Mr Jason Randall Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841202298	NPI	-	NPPES
1204192	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4192 (Oklahoma)	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. Mr Jason Randall Graham allows following entities to bill medicare on his behalf.

Entity Name	Variety Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467

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 Jason Randall 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 Jason Randall Graham, DO 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 632-6688	Mr Jason Randall Graham, DO 4023 Nw 10th St, Oklahoma City, OK 73107-6038 Ph: (405) 632-6688

Reviews and Comments

Pediatrics Doctors in Oklahoma City, OK

Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215
Julie W Lees, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Phillips Ave, Suite 6100, Oklahoma City, OK 73104 Phone: 405-271-6827 Fax: 405-271-4418

Mr Jason Randall Graham, DO - Medicare Pediatrics in Oklahoma City, OK