| Charles Scott Graham, DO | |
|
620 S J St, Lakeview, OR 97630-1680 | |
| (541) 947-2331 | |
| Not Available |
| Full Name | Charles Scott Graham |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 620 S J St, Lakeview, Oregon |
| 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 |
|---|---|---|---|
| 1700932332 | NPI | - | NPPES |
| 133998 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO21658 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake District Hospital | Lakeview, OR | Hospital |
| Surprise Valley Community Hospital | Cedarville, CA | Hospital |
| Modoc Medical Center | Alturas, CA | Hospital |
| Sky Lakes Medical Center | Klamath falls, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Health District | 4284629221 | 37 |
| C Scott Graham Do Pc | 6305949058 | 3 |
| Entity Name | Lake Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376698522 PECOS PAC ID: 4284629221 Enrollment ID: O20040419000549 |
| Entity Name | Lake Health District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376698522 PECOS PAC ID: 4284629221 Enrollment ID: O20061104000374 |
| Entity Name | C Scott Graham Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093839888 PECOS PAC ID: 6305949058 Enrollment ID: O20101104000790 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Scott Graham, DO 620 S J St, Lakeview, OR 97630-1680 Ph: (541) 947-2331 | Charles Scott Graham, DO 620 S J St, Lakeview, OR 97630-1680 Ph: (541) 947-2331 |
Dr. Robert W Bomengen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 | |
Dr. Spencer A. Clarke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 | |
Dr. Stephen A Hussey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 | |
Dr. Timothy A Gallagher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 |