| Eric Sean Graham, MD | |
|
2703 17th St Apt D, Marion, IL 62959-4912 | |
| (618) 998-9200 | |
| (618) 998-9700 |
| Full Name | Eric Sean Graham |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 2703 17th St Apt D, Marion, Illinois |
| 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 |
|---|---|---|---|
| 1720120462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036127171 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 24447 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 036.121717 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
| Lhc-illinois Home Health Care | Marion, IL | Home health agency |
| Tip Hospice | Shiloh, IL | Hospice |
| Heartland Regional Medical Center | Marion, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Illinois Clinic Inc | 5092187021 | 17 |
| Entity Name | Deaconess Illinois Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962128256 PECOS PAC ID: 5092187021 Enrollment ID: O20230220002667 |
| Entity Name | Deaconess Illinois Crossroads Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528785284 PECOS PAC ID: 0143692178 Enrollment ID: O20230221000097 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Sean Graham, MD 2703 17th St Apt D, Marion, IL 62959-4912 Ph: (618) 998-9200 | Eric Sean Graham, MD 2703 17th St Apt D, Marion, IL 62959-4912 Ph: (618) 998-9200 |
Robert Joseph Tiffin Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Veterans Admin Hosp, Marion, IL 62959 Phone: 618-998-5617 Fax: 618-998-5697 | |
Douglas C Brown, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1506 N.sioux Dr, Marion, IL 62959 Phone: 618-519-9200 Fax: 618-985-9155 | |
Dr. Casie E Mosley, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Meshach Vedanayagam Samuel, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Christopher Glazik Jr., FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 | |
Dr. Renato Ralota Katubig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 West Cherry Street, Suite B, Marion, IL 62959 Phone: 618-993-0404 Fax: 618-993-1717 | |
Shobha Dayal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Main St Dept Of, Marion, IL 62959 Phone: 618-997-5311 |