Scott R Graham, MD is a medicare enrolled "Family Medicine" physician in Fredonia, Kentucky. His current practice location is
700 Cassidy Ave, Fredonia, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 545-3386.
Scott R Graham is licensed to practice in Kentucky (license number 25831) 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 1225132350.
Physician's Profile
| Full Name | Scott R Graham |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 700 Cassidy Ave, Fredonia, Kentucky |
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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: 1225132350
- Provider Enumeration Date: 09/11/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890761639
- Enrollment ID: I20040902001451
Medical Identifiers
Medical identifiers for Scott R Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225132350 | NPI | - | NPPES |
| 64258312 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 25831 (Kentucky) | 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. Scott R Graham allows following entities to bill medicare on his behalf.
| Entity Name | Caldwell County Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891207460
PECOS PAC ID: 0749275014
Enrollment ID: O20171211001612 |
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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. Scott R 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 |
|---|
Scott R Graham, MD
Po Box 195, 700 Cassidy Ave,
Fredonia, KY 42411
Ph: (270) 545-3386 | Scott R Graham, MD
700 Cassidy Ave,
Fredonia, KY 42411
Ph: (270) 545-3386 |
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