Dr Michael Connall Graves, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Omaha, Nebraska. His current practice location is
8200 Dodge St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 955-4350.
Dr Michael Connall Graves is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194474403.
Physician's Profile
| Full Name | Dr Michael Connall Graves |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 8200 Dodge St, Omaha, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194474403
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991293326
- Enrollment ID: I20251018000309
Medical Identifiers
Medical identifiers for Dr Michael Connall Graves such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194474403 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2080P0202X | Pediatrics - Pediatric Cardiology | 10158 (Nebraska) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Michael Connall Graves 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 |
Dr Michael Connall Graves, DO 8200 Dodge St, Omaha, NE 68114-4113 Ph: (402) 955-4350 | Dr Michael Connall Graves, DO 8200 Dodge St, Omaha, NE 68114-4113 Ph: (402) 955-4350 |
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