| Matthew L Graves, MD | |
|
2500 N State St, Jackson, MS 39216-4500 | |
| (601) 984-6525 | |
| (601) 815-1722 |
| Full Name | Matthew L Graves |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 25 Years |
| Location | 2500 N State St, Jackson, Mississippi |
| 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 |
|---|---|---|---|
| 1891702148 | NPI | - | NPPES |
| 512G700003 | Other | MS | UP MEDICARE |
| 18139 | Other | MS | MEDICAL LICENSE |
| 200000517 | Other | MS | MEDICARE |
| 156441 | Medicaid | AL | |
| 1891702148 | Other | MS | NPI |
| 512I200002 | Other | MS | MEDICARE PTAN |
| P00643807 | Other | MS | UP RRMCR PTAN |
| 01301804 | Medicaid | MS | |
| 106655 | Medicaid | AL | |
| 1335061 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 18139 (Mississippi) | Primary |
| 174400000X | Specialist | 18139 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Mississippi Baptist Medical Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Foundation Of Central Mississippi Inc | 1153216411 | 246 |
| State Of Mississippi - University Of Mississippi Medical Center | 1850293036 | 846 |
| Entity Name | Medical Foundation Of Central Mississippi Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew L Graves, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6525 | Matthew L Graves, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6525 |
Stephen Ryan Chen, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Trevor Reed Pickering, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-960-4586 | |
Dr. Fortunato Gabriel Padua, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-351-5980 | |
Latoya Braylock, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 | |
Dr. Larry Daniel Field, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 Fax: 601-914-1861 | |
Dr. James William Woodall Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 | |
Kevin Francis Purcell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-6525 |