Alan Daryl Graham, MD is a medicare enrolled "Surgery" in London, Kentucky. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1980 and has 45 years of diverse experience with area of expertise as General Surgery. His current practice location is
200 City Hill Dr, London, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 878-6633.
Alan Daryl Graham is licensed to practice in Kentucky (license number 24150) 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 1598876328.
Provider's Profile
Full Name | Alan Daryl Graham |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 45 Years |
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Location | 200 City Hill Dr, London, Kentucky |
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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. |
Medical Education and Training:
- Alan Daryl Graham attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1980
NPI Data:
- NPI Number: 1598876328
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 11/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143237073
- Enrollment ID: I20110615000080
Medical Identifiers
Medical identifiers for Alan Daryl Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598876328 | NPI | - | NPPES |
64241508 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | PA249 (Kentucky) | Secondary |
208600000X | Surgery | 24150 (Kentucky) | Primary |
Medical Facilities Affiliation
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. Alan Daryl Graham allows following entities to bill medicare on his behalf.
Entity Name | Alan D Graham |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073711339 PECOS PAC ID: 7719902006 Enrollment ID: O20051005001047 |
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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. Alan Daryl 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 |
Alan Daryl Graham, MD Po Box 1067, London, KY 40743-1067 Ph: (606) 878-6633 | Alan Daryl Graham, MD 200 City Hill Dr, London, KY 40741-3038 Ph: (606) 878-6633 |
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