Joshua Clark Graham, PA-C is a medicare enrolled "Physician Assistant" in Manti, Utah. His current practice location is
159 N Main St, Manti, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 835-3344.
Joshua Clark Graham is licensed to practice in Utah (license number 12722421-1206) 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 1700325529.
Provider's Profile
Full Name | Joshua Clark Graham |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 159 N Main St, Manti, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700325529
- Provider Enumeration Date: 02/13/2017
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890071302
- Enrollment ID: I20170418002219
Medical Identifiers
Medical identifiers for Joshua Clark Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700325529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA11173 (Texas) | Secondary |
363A00000X | Physician Assistant | 12722421-1206 (Utah) | Primary |
363AM0700X | Physician Assistant - Medical | 12722421-1206 (Utah) | Secondary |
363AM0700X | Physician Assistant - Medical | 12722421-8906 (Utah) | Secondary |
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. Joshua Clark 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 |
Joshua Clark Graham, PA-C Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () - | Joshua Clark Graham, PA-C 159 N Main St, Manti, UT 84642-1257 Ph: (435) 835-3344 |
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