| Dr Tanith M Graham, MD | |
|
2869 Sw Champlain Dr, Portland, OR 97205-5833 | |
| (503) 709-8787 | |
| Not Available |
| Full Name | Dr Tanith M Graham |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 44 Years |
| Location | 2869 Sw Champlain Dr, Portland, 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 |
|---|---|---|---|
| 1790752640 | NPI | - | NPPES |
| 1037381 | Medicaid | WA | |
| 7394381-00 | Medicaid | MN | |
| 02121230 | Medicaid | MS | |
| 050032614 | Other | OR | RR MEDICARE |
| 117006 | Medicaid | OR |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tanith M Graham, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-1196 | Dr Tanith M Graham, MD 2869 Sw Champlain Dr, Portland, OR 97205-5833 Ph: (503) 709-8787 |
Dr. Frank E Palmrose, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 707 Sw Washington St, Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Dr. Thomas F Schrattenholzer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1130 Nw 22nd Ave Ste 345, Portland, OR 97210 Phone: 503-413-7513 Fax: 503-413-7503 | |
Dr. Lee E. Dorfman, DO, MS Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Nw 14th Ave, Suite 300, Portland, OR 97209 Phone: 503-299-9906 Fax: 503-225-9002 | |
Grace Chien, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Dr. Diane Miller, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland Vamc, P3 Anes, Portland, OR 97239 Phone: 503-220-8262 Fax: 503-721-7859 | |
Dr. Jeff Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 Fax: 503-494-8368 | |
Dr. Jeffrey Philip Mako, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St, Suite 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 |