| Susan Diane Graham, | |
|
1010 Three Springs Blvd, Durango, CO 81301-8296 | |
| (303) 306-7783 | |
| (303) 306-7753 |
| Full Name | Susan Diane Graham |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 1010 Three Springs Blvd, Durango, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730193756 | NPI | - | NPPES |
| P00315470 | Other | CO | RAILROAD MEDICARE PIN |
| 01356211 | Medicaid | CO | |
| 000L3404 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 35621 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | 35621 (Colorado) | Primary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Diane Graham, Po Box 17752, Denver, CO 80217-0752 Ph: (303) 306-7783 | Susan Diane Graham, 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (303) 306-7783 |
Charles Eaton Page, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 303-306-7783 Fax: 303-306-7753 | |
Dr. Daniel Seth Caplin, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 72 Suttle St Unit M, Durango, CO 81303 Phone: 970-828-3030 Fax: 970-247-0221 | |
Dr. Mark Wesley Turpen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 450 Prospector Ave, Durango, CO 81301 Phone: 970-759-6454 | |
Randal Ford Jernigan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-2100 | |
John William Cartier Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2577 Main Ave, Durango, CO 81301 Phone: 970-247-8283 Fax: 970-259-4403 | |
Stephen Samuel Haverly, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 303-306-7783 Fax: 303-306-7753 | |
Tessa Fain, PA Emergency Medicine Medicare: Medicare Enrolled Practice Location: 523 S Camino Del Rio Ste B, Durango, CO 81303 Phone: 970-247-1970 |