| Dr Thomas Richard Degraff Iii, DO | |
|
101 Cms Williams Drive, Little Rock Afb, AR 72099-3427 | |
| (501) 987-6951 | |
| Not Available |
| Full Name | Dr Thomas Richard Degraff Iii |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 101 Cms Williams Drive, Little Rock Afb, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003002510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | A141807 (New Mexico) | Secondary |
| 208D00000X | General Practice | E-8909 (Arkansas) | Primary |
| Entity Name | The Centers Medical Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518625201 PECOS PAC ID: 3870975865 Enrollment ID: O20230127000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Richard Degraff Iii, DO 101 Cms Williams Drive, Little Rock Afb, AR 72099-0001 Ph: (501) 987-6951 | Dr Thomas Richard Degraff Iii, DO 101 Cms Williams Drive, Little Rock Afb, AR 72099-3427 Ph: (501) 987-6951 |
Dr. Svetlana Morrell, DO General Practice Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-8811 | |
Dana Alexandria Sullivan-green, DO General Practice Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7319 | |
Drew Ferguson, DO General Practice Medicare: Medicare Enrolled Practice Location: 1090 Arnold Dr, Little Rock Afb, AR 72099 Phone: 501-987-7319 |