Alan Daryl Graham, MD is a medicare enrolled "Surgery" in London, Kentucky. His current practice location is
200 City Hill Dr, London, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 878-6633.
Alan Daryl Graham is licensed to practice in Kentucky (license number 24150) 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 1598876328.
Provider's Profile
| Full Name | Alan Daryl Graham |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 200 City Hill Dr, London, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598876328
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 11/16/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143237073
- Enrollment ID: I20110615000080
Medical Identifiers
Medical identifiers for Alan Daryl Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598876328 | NPI | - | NPPES |
| 64241508 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AS0400X | Physician Assistant - Surgical | PA249 (Kentucky) | Secondary |
| 208600000X | Surgery | 24150 (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. Alan Daryl Graham allows following entities to bill medicare on his behalf.
| Entity Name | Alan D Graham |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073711339 PECOS PAC ID: 7719902006 Enrollment ID: O20051005001047 |
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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. Alan Daryl 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 |
Alan Daryl Graham, MD Po Box 1067, London, KY 40743-1067 Ph: (606) 878-6633 | Alan Daryl Graham, MD 200 City Hill Dr, London, KY 40741-3038 Ph: (606) 878-6633 |
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