Robert Wallace Graham, DO | |
800 Mercy Dr, Council Bluffs, IA 51503-3128 | |
(800) 875-0136 | |
(937) 619-4150 |
Full Name | Robert Wallace Graham |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 800 Mercy Dr, Council Bluffs, Iowa |
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 |
---|---|---|---|
1629393160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4438 (Iowa) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Salt Lake Regional Medical Center | Salt lake city, UT | Hospital |
St Mark's Hospital | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emergency Physicians Integrated Care Llc | 4284548116 | 170 |
Entity Name | Emergency Physicians Integrated Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
Mailing Address | Practice Location Address |
---|---|
Robert Wallace Graham, DO 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: (800) 875-0136 | Robert Wallace Graham, DO 800 Mercy Dr, Council Bluffs, IA 51503-3128 Ph: (800) 875-0136 |
Dr. Paul C. Mileris, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6111 Fax: 712-396-7026 | |
Ronald A Sarno, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Adrian Dreessen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Reed Macy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5000 | |
Dr. Christopher Elliott, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5230 | |
Dr. Scott P Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-6111 |