Octavia Lawton Graham, MD is a medicare enrolled "Family Medicine" physician in Zebulon, Georgia. Her current practice location is
9475 Us-19, Zebulon, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 321-6111.
Octavia Lawton Graham is licensed to practice in Tennessee (license number 59410) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134581549.
Physician's Profile
| Full Name | Octavia Lawton Graham |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 9475 Us-19, Zebulon, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134581549
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830441658
- Enrollment ID: I20190920002904
Medical Identifiers
Medical identifiers for Octavia Lawton Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134581549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 008710 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 59410 (Tennessee) | 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. Octavia Lawton Graham allows following entities to bill medicare on her behalf.
| Entity Name | Maury Regional Medical Group, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205886264
PECOS PAC ID: 7911810742
Enrollment ID: O20040227000252 |
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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. Octavia Lawton 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 Address | Practice Location Address |
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Octavia Lawton Graham, MD
5962 Zebulon Rd # 186,
Macon, GA 31210-2099
Ph: () - | Octavia Lawton Graham, MD
9475 Us-19,
Zebulon, GA 30295
Ph: (404) 321-6111 |
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