| Dr Blane A Graves, MD | |
|
1408 College Dr, Texarkana, TX 75503-3534 | |
| (903) 794-0515 | |
| (903) 793-8000 |
| Full Name | Dr Blane A Graves |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 1408 College Dr, Texarkana, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124010301 | NPI | - | NPPES |
| 152744201 | Medicaid | TX | |
| 430909809 | Other | TX | NOVASYS |
| 5L641 | Other | TX | ARKANSAS BLUE CROSS BLUE SHIELD |
| 8K1368 | Other | TX | TEXAS BLUE CROSS BLUE SHIELD |
| 020900066-00 | Other | TX | QUALCHOICE |
| 080189370 | Other | TX | RAILROAD MEDICARE |
| 142180001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4402 (Texas) | Primary |
| 207Q00000X | Family Medicine | E2697 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Collom And Carney Clinic Association | 1355249541 | 76 |
| Collom And Carney Clinic Association | 1355249541 | 76 |
| Entity Name | Collom & Carney Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Blane A Graves, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 | Dr Blane A Graves, MD 1408 College Dr, Texarkana, TX 75503-3534 Ph: (903) 794-0515 |
Wilmer Lynn Reep, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2931 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-3200 Fax: 903-614-3525 | |
Jack Menges Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Monica E. Townsend, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Scott W Wyrick, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3333 Potomac Ave, Texarkana, TX 75503 Phone: 903-792-3787 Fax: 903-792-0446 | |
Mr. Jeffory Ford Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Phillip Pace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3502 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5270 Fax: 903-614-5279 |