| Jessica Laura Graves, PA-C | |
|
4700 W Urbana St Ste 100, Broken Arrow, OK 74012-5520 | |
| (539) 281-3101 | |
| Not Available |
| Full Name | Jessica Laura Graves |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 4700 W Urbana St Ste 100, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407120066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | AMD-770 (Hawaii) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA2129 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southside Dermatology Pllc | 9234487554 | 11 |
| Entity Name | Southside Dermatology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750877072 PECOS PAC ID: 9234487554 Enrollment ID: O20180802002933 |
| Entity Name | Restore Dermatology Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336002302 PECOS PAC ID: 1456832831 Enrollment ID: O20260224002229 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Laura Graves, PA-C 4700 W Urbana St Ste 100, Broken Arrow, OK 74012-5520 Ph: (539) 281-3101 | Jessica Laura Graves, PA-C 4700 W Urbana St Ste 100, Broken Arrow, OK 74012-5520 Ph: (539) 281-3101 |
Mrs. Patricia Joyce Iven, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 E. Lansing, Broken Arrow, OK 74012 Phone: 918-258-9990 Fax: 918-251-9339 |
Allison Griffiths, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 W Oakland St, Broken Arrow, OK 74012 Phone: 918-251-2666 |
Anna Joy Cory, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4204 N Spruce Ave, Broken Arrow, OK 74012 Phone: 918-637-0377 |
Molly Kate Mertz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1245 N Birch Ave, Broken Arrow, OK 74012 Phone: 918-294-3278 |
Nour Mustafa, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2504 E Reno St, Broken Arrow, OK 74014 Phone: 918-406-8625 |
Rebekah Dawn Newton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 421 Stone Wood Dr, Broken Arrow, OK 74012 Phone: 918-872-8822 Fax: 918-872-8823 |
Natalie Maguire Scardino, PA,C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2950 S Elm Pl Ste 152, Broken Arrow, OK 74012 Phone: 918-449-3720 Fax: 918-449-3725 |