Blake Graham, in Edmond, OK - Medicare Physical Therapist Provider

Blake Graham, is a medicare enrolled "Physical Therapist" provider in Edmond, Oklahoma. His current practice location is 16502 N Pennsylvania Ave Ste C, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 285-9659.

Blake Graham is licensed to practice in Oklahoma (license number 6164) 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 1376273557.

Contact Information

	Blake Graham,
	16502 N Pennsylvania Ave Ste C, Edmond, OK 73012-9126
	(405) 285-9659
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Graham
Gender	Male
Speciality	Physical Therapist
Location	16502 N Pennsylvania Ave Ste C, Edmond, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376273557
Provider Enumeration Date: 06/12/2022
Last Update Date: 06/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0547641094
Enrollment ID: I20220715000710

Medical Identifiers

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

Identifier	Type	State	Issuer
1376273557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6164 (Oklahoma)	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. Blake Graham allows following entities to bill medicare on his behalf.

Provider Name	Function Physical Therapy, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538564224 PECOS PAC ID: 8325364151 Enrollment ID: O20150313000315

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. Blake 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
Blake Graham, 16502 N Pennsylvania Ave Ste C, Edmond, OK 73012-9126 Ph: () -	Blake Graham, 16502 N Pennsylvania Ave Ste C, Edmond, OK 73012-9126 Ph: (405) 285-9659

Reviews and Comments

Physical Therapist in Edmond, OK

Jakob Curtis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1271 W Danforth Rd, Edmond, OK 73003 Phone: 405-396-8000 Fax: 405-726-8181
Olivia Diel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3125 N Sooner Rd Ste 150, Edmond, OK 73034 Phone: 405-285-9659 Fax: 405-920-6070
Laura Foshee, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15101 Lleytons Ct Ste 102, Edmond, OK 73013 Phone: 405-726-1580 Fax: 405-310-6866
Core Pt Edmond Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1410 Fretz Dr, Edmond, OK 73003 Phone: 405-285-8477 Fax: 405-285-8499
Mr. Samer Imad Zantout, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13801 N Bryant Ave, Suite 400, Edmond, OK 73013 Phone: 405-286-6080 Fax: 866-594-7004
Linda Sue Roberts, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1424 Boathouse Rd, Edmond, OK 73034 Phone: 405-664-4876 Fax: 405-447-1198
Ms. Judy Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 429 Gold Fields Trl, Edmond, OK 73003 Phone: 509-859-4177

Blake Graham, - Medicare Physical Therapist in Edmond, OK