Bradley Scott Graham, MD in Tyler, TX

Bradley Scott Graham, MD is a medicare enrolled "Dermatology" physician in Tyler, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc, Oliver Street 5.01(a) Inc and his current practice location is 1367 Dominion Plaza, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 534-6200.

Bradley Scott Graham is licensed to practice in Texas (license number L1869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083641062.

Contact Information

	Bradley Scott Graham, MD
	1367 Dominion Plaza, Tyler, TX 75703-1013
	(903) 534-6200
	Not Available

Map and Direction

Physician's Profile

Full Name	Bradley Scott Graham
Gender	Male
Speciality	Dermatology
Experience	34 Years
Location	1367 Dominion Plaza, Tyler, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley Scott Graham attended and graduated from University Of Texas Medical Branch At Galveston in 1990

NPI Data:

NPI Number: 1083641062
Provider Enumeration Date: 06/27/2006
Last Update Date: 05/22/2008

Medicare PECOS Information:

PECOS PAC ID: 5597891515
Enrollment ID: I20100330000219

Medical Identifiers

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

Identifier	Type	State	Issuer
1083641062	NPI	-	NPPES
8865K2	Other	TX	BLUE CROSS AND BLUE SHIELD PATHOLOGY
145796201	Medicaid	TX
070016784	Other	TX	RAILROAD MEDICARE PTAN
8A2682	Other	TX	BLUE CROSS AND BLUE SHIELD CLINIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	L1869 (Texas)	Primary
207ND0900X	Dermatology - Dermatopathology	L1869 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oliver Street 5.01(a) Inc	0042464125	141
Oliver Street 5.01(a) Inc	0042464125	141

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. Bradley Scott Graham allows following entities to bill medicare on his behalf.

Entity Name	Oliver Street 5.01(a) Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189

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. Bradley Scott 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
Bradley Scott Graham, MD 1367 Dominion Plaza, Tyler, TX 75703-1013 Ph: () -	Bradley Scott Graham, MD 1367 Dominion Plaza, Tyler, TX 75703-1013 Ph: (903) 534-6200

Reviews and Comments

Dermatology Doctors in Tyler, TX

Shanna Burris Meads, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200
Stephen John Beck, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755
Alma Criseida Berlingeri Ramos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755
Elizabeth Stripling Morris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200
Lawrence Lazelle Anderson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200
Thomas Lambert Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5791 Copeland Rd, Tyler, TX 75703 Phone: 903-509-2020

Bradley Scott Graham, MD - Medicare Dermatology in Tyler, TX