John Richard Graham, CRNA | |
200 Hawthorne Lane, Charlotte, NC 28204 | |
(704) 384-4239 | |
(704) 384-5636 |
Full Name | John Richard Graham |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 200 Hawthorne Lane, Charlotte, North Carolina |
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 |
---|---|---|---|
1558319558 | NPI | - | NPPES |
8051998 | Medicaid | NC | |
NAN512 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 054220 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital And Medical Center | Tamarac, FL | Hospital |
Westside Regional Medical Center | Plantation, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Anesthesia Physician Solutions Of South Florida, Llc | 4688805286 | 210 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
Entity Name | Anesthesia Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
Mailing Address | Practice Location Address |
---|---|
John Richard Graham, CRNA Po Box 601549, Charlotte, NC 28260-1549 Ph: (704) 384-4239 | John Richard Graham, CRNA 200 Hawthorne Lane, Charlotte, NC 28204 Ph: (704) 384-4239 |
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636 | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994 | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Raven Danielle Lyles, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4274 |