Dr Terrence M Graham, DPM,FACFAS | |
2 Memorial Dr Ste 305, Decatur, IL 62526-3999 | |
(217) 876-4830 | |
(217) 876-8385 |
Full Name | Dr Terrence M Graham |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2 Memorial Dr Ste 305, Decatur, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972585990 | NPI | - | NPPES |
0060215009 | Other | IL | BCBS |
480008850 | Other | IL | RR MEDICARE |
016003032 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016003032 (Illinois) | Primary |
Provider Name | Decatur Memorial Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
Mailing Address | Practice Location Address |
---|---|
Dr Terrence M Graham, DPM,FACFAS 102 W Kenwood Ave, Suite 150, Decatur, IL 62526-4368 Ph: (217) 875-3668 | Dr Terrence M Graham, DPM,FACFAS 2 Memorial Dr Ste 305, Decatur, IL 62526-3999 Ph: (217) 876-4830 |
Drs Graham & Graham Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave, Suite 150, Decatur, IL 62526 Phone: 217-875-3668 Fax: 217-845-4277 | |
Edward C Elliott Iii, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2 Memorial Dr Ste 305, Decatur, IL 62526 Phone: 217-876-4830 Fax: 217-876-8385 | |
Family Foot & Ankle Clinic Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1390 N Fairview Ave, Decatur, IL 62526 Phone: 217-429-1512 Fax: 217-423-1465 | |
Lynae Aileen Pierson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1770 E Lake Shore Dr, Ste 100, Decatur, IL 62521 Phone: 217-429-1512 Fax: 217-423-1465 |