| Glenn E Graves, MD | |
|
4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 | |
| (414) 281-0963 | |
| (414) 281-0959 |
| Full Name | Glenn E Graves |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 40 Years |
| Location | 4600 W Loomis Rd Ste 310, Greenfield, Wisconsin |
| 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 |
|---|---|---|---|
| 1780671677 | NPI | - | NPPES |
| 180020621 | Other | WI | RR MEDICARE |
| 391484998011 | Other | WI | BLUE CROSS |
| 391484998C | Other | WI | HUMANA |
| 0800065 | Other | WI | PRIMECARE |
| 391484998 | Other | WI | TAX ID |
| 31485900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 27890-020 (Wisconsin) | Secondary |
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 27890-020 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ophthalmology Associates S C | 6204723869 | 8 |
| Entity Name | Ophthalmology Associates S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063557890 PECOS PAC ID: 6204723869 Enrollment ID: O20040301000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn E Graves, MD 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660 | Glenn E Graves, MD 4600 W Loomis Rd Ste 310, Greenfield, WI 53220-4858 Ph: (414) 281-0963 |
Ryan N Vogel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd Ste 240, Greenfield, WI 53221 Phone: 262-510-0300 Fax: 262-510-0500 | |
Andrew B Zolot, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4300 W Layton Ave Ste 100, Greenfield, WI 53220 Phone: 414-928-2020 Fax: 414-210-3402 | |
Cole Rojas, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-588-3526 | |
Dr. Hart Beaman Moss, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0424 | |
Breanna Nicole Aldred, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 4600 W Loomis Rd Ste 310, Greenfield, WI 53220 Phone: 414-281-0424 Fax: 414-281-0959 | |
Judith Becker Coran, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3033 W Layton Ave Ste 101, Greenfield, WI 53221 Phone: 414-279-5579 Fax: 414-249-3299 | |
Joshua Agranat, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4131 W Loomis Rd Ste 240, Greenfield, WI 53221 Phone: 262-510-0300 Fax: 262-510-0500 |