Dr William Noble Graham, DO is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Mitchell, South Dakota. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Avera Queen Of Peace and his current practice location is
625 N Foster St, Suite 203, Mitchell, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 996-8386.
Dr William Noble Graham is licensed to practice in South Dakota (license number 4248) 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 1558450254.
Physician's Profile
| Full Name | Dr William Noble Graham |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 32 Years |
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| Location | 625 N Foster St, Mitchell, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr William Noble Graham attended and graduated from Michigan State University College Of Osteopathic Medicine in 1992
NPI Data:
- NPI Number: 1558450254
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 05/11/2009
Medicare PECOS Information:
- PECOS PAC ID: 8426002460
- Enrollment ID: I20050311000509
Medical Identifiers
Medical identifiers for Dr William Noble Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558450254 | NPI | - | NPPES |
| 2070 | Other | SD | AVERA HEALTH |
| 0005047 | Other | SD | BCBS |
| 6520252 | Medicaid | SD | |
| 20223 | Other | SD | SIOUX VALLEY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 4248 (South Dakota) | 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. Dr William Noble Graham allows following entities to bill medicare on his behalf.
| Entity Name | Avera Queen Of Peace |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205359031
PECOS PAC ID: 9335050806
Enrollment ID: O20031229000301 |
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| Entity Name | Graham Ear, Nose & Throat P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063647154
PECOS PAC ID: 9335290360
Enrollment ID: O20090701000649 |
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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. Dr William Noble 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 |
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Dr William Noble Graham, DO
625 N Foster St, Suite 203,
Mitchell, SD 57301-2969
Ph: (605) 996-8386 | Dr William Noble Graham, DO
625 N Foster St, Suite 203,
Mitchell, SD 57301-2969
Ph: (605) 996-8386 |
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