Jack M Graham, MD - Medicare Obstetrics & Gynecology in Fort Worth, TX

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Jack M Graham, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1166.

Jack M Graham is licensed to practice in Texas (license number F1600) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205801347.

Contact Information

Jack M Graham, MD
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1166
(817) 702-1405

Map and Direction




Physician's Profile

Full NameJack M Graham
GenderMale
SpecialityObstetrics & Gynecology - Maternal & Fetal Medicine
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205801347
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 12/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2961304738
  • Enrollment ID: I20040130000361

Medical Identifiers

Medical identifiers for Jack M Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205801347NPI-NPPES
8H3360OtherTXBCBS
139366218MedicaidTX
139366223MedicaidTX
4227216OtherTXAETNA
139366219MedicaidTX
10028874OtherTXAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology F1600 (Texas)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine F1600 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack M Graham allows following entities to bill medicare on his behalf.
Entity NameTexas Maternal Fetal Medicine, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487887071
PECOS PAC ID: 3779623186
Enrollment ID: O20091216000173
Entity NameFetal Care Consultants, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578883187
PECOS PAC ID: 0749466175
Enrollment ID: O20110518000787
Entity NameAcclaim Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack M Graham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack M Graham, MD
Po Box 100186,
Fort Worth, TX 76185-0186

Ph: (817) 731-7771		Jack M Graham, MD
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1166

Reviews and Comments


Obstetrics & Gynecology Doctors in Fort Worth, TX

Dr. Robert Arthur Burke, M.D.
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Phone: 817-423-0600    
Dr. Cynthia Lynn Hartman, DO
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Practice Location: 10840 Texas Health Trl Ste 110, Fort Worth, TX 76244
Phone: 682-212-6437    Fax: 682-212-9438
Dr. Benjamin Aude Mcwilliams, M. D.
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Practice Location: 6659 Gascony Pl, Fort Worth, TX 76132
Phone: 817-423-9653    
Lydia A Luna, M.D., P. A.
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Medicare: Not Enrolled in Medicare
Practice Location: 1307 8th Ave, #602, Fort Worth, TX 76104
Phone: 817-877-1848    Fax: 817-877-3716
Jeffrey M Hantes, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 1327 Hemphill St., Suite 100, Fort Worth, TX 76104
Phone: 817-731-3936    Fax: 817-782-0206
Dr. Shashi P Rastogi, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1001. 12th Ave., 174, Fort Worth, TX 76104
Phone: 817-348-0701    Fax: 817-348-0702
Courtney Walters, M.D,
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 3025 N Tarrant Pkwy Ste 150, Fort Worth, TX 76177
Phone: 817-416-2229    Fax: 817-416-3667

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.