Vicky Graham, OD in Boulder, CO - Medicare Optometrist Provider

Vicky Graham, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Boulder, Colorado. Her current practice location is 1230 Spruce St, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 939-8021.

Vicky Graham is licensed to practice in Colorado (license number 1475) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649319237.

Contact Information

	Vicky Graham, OD
	1230 Spruce St, Boulder, CO 80302-4806
	(303) 939-8021
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vicky Graham
Gender	Female
Speciality	Optometrist - Corneal And Contact Management
Location	1230 Spruce St, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649319237
Provider Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799675625
Enrollment ID: I20110222000615

Medical Identifiers

Medical identifiers for Vicky Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649319237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1475 (Colorado)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	1475 (Colorado)	Primary

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. Vicky Graham allows following entities to bill medicare on her behalf.

Provider Name	Envision Boulder
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1982873543 PECOS PAC ID: 1153211073 Enrollment ID: O20040316000883

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. Vicky 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
Vicky Graham, OD 1230 Spruce St, Boulder, CO 80302-4806 Ph: (303) 939-8021	Vicky Graham, OD 1230 Spruce St, Boulder, CO 80302-4806 Ph: (303) 939-8021

Reviews and Comments

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Vicky Graham, OD - Medicare Optometrist in Boulder, CO