| Mr Michael Clyde Graham, PA | |
|
225 6th St, Potlatch, ID 83855-5002 | |
| (208) 883-2220 | |
| Not Available |
| Full Name | Mr Michael Clyde Graham |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 35 Years |
| Location | 225 6th St, Potlatch, Idaho |
| 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 |
|---|---|---|---|
| 1205901477 | NPI | - | NPPES |
| 807364300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA594 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Urgent Care Llc | 1052441946 | 17 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Clyde Graham, PA 225 6th St, Potlatch, ID 83855-5002 Ph: (208) 883-2220 | Mr Michael Clyde Graham, PA 225 6th St, Potlatch, ID 83855-5002 Ph: (208) 883-2220 |
Charlotte S Ainge, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 N. 6th St, Potlatch, ID 83855 Phone: 208-875-2380 | |
Skyler S Worthington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 156 6th St, Potlatch, ID 83855 Phone: 208-875-2380 Fax: 208-875-2303 |