| Dr Travis S Graham, MD | |
|
707 Sheridan Ave, Cody, WY 82414-3409 | |
| (307) 578-2372 | |
| Not Available |
| Full Name | Dr Travis S Graham |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 707 Sheridan Ave, Cody, Wyoming |
| 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 |
|---|---|---|---|
| 1417926528 | NPI | - | NPPES |
| P00324453 | Other | WY | RR MEDICARE |
| 121621000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7334A (Wyoming) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 43592 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cody Regional Health | Cody, WY | Hospital |
| Wyoming Medical Center | Casper, WY | Hospital |
| Campbell County Health | Gillette, WY | Hospital |
| Platte County Memorial Hospital | Wheatland, WY | Hospital |
| Community Hospital | Torrington, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Casper Medical Imaging Pc | 8224010871 | 20 |
| Outpatient Radiology Llc | 8628051596 | 13 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | Casper Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316908940 PECOS PAC ID: 8224010871 Enrollment ID: O20040607000423 |
| Entity Name | Powell Valley Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
| Entity Name | Outpatient Radiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396704474 PECOS PAC ID: 8628051596 Enrollment ID: O20050930000527 |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346288347 PECOS PAC ID: 6002993516 Enrollment ID: O20080527000137 |
| Entity Name | Big Horn Basin Radiology Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821790676 PECOS PAC ID: 1951766724 Enrollment ID: O20230501000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travis S Graham, MD 2420 Ina Ave, Cody, WY 82414-9825 Ph: (307) 578-2372 | Dr Travis S Graham, MD 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 578-2372 |
Gregory H Cross Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-578-2582 Fax: 307-578-2389 | |
Linda Byrd, RT Radiology Medicare: Not Enrolled in Medicare Practice Location: 1021 9th St, Cody, WY 82414 Phone: 208-667-9334 Fax: 208-664-2341 |