Neil H Grafstein, MD - Medicare Urology in Durham, NC

Neil H Grafstein, MD is a medicare enrolled "Urology" physician in Durham, North Carolina. He went to State University Of New York Downstate Medical Center and graduated in 2000 and has 24 years of diverse experience with area of expertise as Urology. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is 4101 N Roxboro St, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 684-8111.

Neil H Grafstein is licensed to practice in North Carolina (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891800033.

Contact Information

Neil H Grafstein, MD
4101 N Roxboro St,
Durham, NC 27704-2121
(919) 684-8111
Not Available

Map and Direction




Physician's Profile

Full NameNeil H Grafstein
GenderMale
SpecialityUrology
Experience24 Years
Location4101 N Roxboro St, Durham, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Neil H Grafstein attended and graduated from State University Of New York Downstate Medical Center in 2000
  NPI Data:
  • NPI Number: 1891800033
  • Provider Enumeration Date: 08/20/2006
  • Last Update Date: 10/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9133126014
  • Enrollment ID: I20080207000596

Medical Identifiers

Medical identifiers for Neil H Grafstein such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891800033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702339

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. Neil H Grafstein allows following entities to bill medicare on his behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750647152
PECOS PAC ID: 2264691070
Enrollment ID: O20130920000028
Entity NameEmusc Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1265988182
PECOS PAC ID: 5597045526
Enrollment ID: O20161209000824

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. Neil H Grafstein 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
Neil H Grafstein, MD
4101 N Roxboro St,
Durham, NC 27704-2121

Ph: (919) 684-8111
Neil H Grafstein, MD
4101 N Roxboro St,
Durham, NC 27704-2121

Ph: (919) 684-8111

Reviews and Comments


Urology Doctors in Durham, NC

Dr. Karen Christine Baker, M.D.
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Phone: 919-572-4673    Fax: 919-668-0321
Tom Spalding, P.A.
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Dr. Thomas James Polascik, M.D.
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Brant A Inman, M.D.
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Dr. Andrew Charles Peterson, MD
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Judd Moul, M.D.
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Phone: 919-620-4467    
Daniel George, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: Duke University Medical Ctr, Durham, NC 27710
Phone: 919-620-4467    

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.