| Gary Robert Graham, MD | |
|
2776 Enterprise Rd # 100, Orange City, FL 32763-8316 | |
| (386) 774-1223 | |
| (386) 774-4658 |
| Full Name | Gary Robert Graham |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 37 Years |
| Location | 2776 Enterprise Rd # 100, Orange City, Florida |
| 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 |
|---|---|---|---|
| 1538160692 | NPI | - | NPPES |
| 379101700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME68452 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Fish Memorial | Orange city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-florida Hematology And Oncology Centers, Pa | 4880584135 | 13 |
| Entity Name | Florida Urology Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336286251 PECOS PAC ID: 8224927132 Enrollment ID: O20040310001347 |
| Entity Name | Mid-florida Hematology & Oncology Centers, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369955 PECOS PAC ID: 4880584135 Enrollment ID: O20040318001483 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Robert Graham, MD 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 Ph: (386) 774-1223 | Gary Robert Graham, MD 2776 Enterprise Rd # 100, Orange City, FL 32763-8316 Ph: (386) 774-1223 |
Dr. Diane R Horowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 830 Commed Blvd, Suite E, Orange City, FL 32763 Phone: 386-456-0111 | |
Dwight Dwain Hoarau, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553 | |
Penelope Block, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000 | |
Alan R Forbes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2776 Enterprise Rd # 100, Orange City, FL 32763 Phone: 386-774-1223 Fax: 386-774-4658 | |
Dr. Zachary E Ballenger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5000 | |
Dr. Mehmet Sait Albayram, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553 | |
Samana Zaidi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5526 Fax: 386-917-5553 |