| Geoffrey Lee Graham, NP | |
|
615 N Bonita Ave, Panama City, FL 32401-3623 | |
| (850) 769-1511 | |
| (850) 416-6159 |
| Full Name | Geoffrey Lee Graham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 615 N Bonita Ave, Panama City, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659957132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN11012283 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Memorial Hospital | Bonifay, FL | Hospital |
| Ascension Sacred Heart Bay | Panama city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holmes County Hospital Corp | 3375557887 | 17 |
| Sacred Heart Health System Inc | 3779491386 | 355 |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Entity Name | Holmes County Hospital Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431702 PECOS PAC ID: 3375557887 Enrollment ID: O20101122001377 |
| Entity Name | Hni Hospital Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey Lee Graham, NP 4205 Belfort Rd Ste 4015, Jacksonville, FL 32216-3623 Ph: (904) 450-6063 | Geoffrey Lee Graham, NP 615 N Bonita Ave, Panama City, FL 32401-3623 Ph: (850) 769-1511 |
Kaylyn Marie Khan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 E 3rd St, Panama City, FL 32401 Phone: 850-785-9511 Fax: 850-763-9494 | |
Mrs. Elizabeth Ruth Doss, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961 | |
Kimberly Mcconnell, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E 23rd St, Panama City, FL 32405 Phone: 850-769-0338 Fax: 850-640-2195 | |
Mrs. Linda Jolene Gemsch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 Jenks Ave, Suite 5, Panama City, FL 32405 Phone: 850-763-3635 Fax: 850-770-3265 | |
Mrs. Suzanne Selley Martincak, CNM, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5610 Highway 2297, Panama City, FL 32404 Phone: 850-387-5111 Fax: 850-252-6166 | |
Ms. Waneda Kay Wolfe, M.N., C.N.S., A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Doctors Dr Ste C, Panama City, FL 32405 Phone: 850-814-8400 Fax: 850-215-8405 | |
Robin Lynn Johnston, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 E 6th St Ste 606, Panama City, FL 32401 Phone: 850-804-3800 Fax: 850-608-6434 |