Alan Scott Graham, MD - Medicare Pediatrics in Mesa, AZ

Alan Scott Graham, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Mesa, Arizona. His current practice location is 1400 S Dobson Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 412-3340.

Alan Scott Graham is licensed to practice in Arizona (license number 44802) 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 1598771099.

Contact Information

Alan Scott Graham, MD
1400 S Dobson Rd,
Mesa, AZ 85202-4707
(480) 412-3340
Not Available



Physician's Profile

Full NameAlan Scott Graham
GenderMale
SpecialityPediatrics - Pediatric Critical Care Medicine
Location1400 S Dobson Rd, Mesa, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598771099
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 08/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7810962354
  • Enrollment ID: I20110720000840

Medical Identifiers

Medical identifiers for Alan Scott Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598771099NPI-NPPES
233479MedicaidOR
609164MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine MD25165 (Oregon)Secondary
2080P0203XPediatrics - Pediatric Critical Care Medicine 44802 (Arizona)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 Scott Graham allows following entities to bill medicare on his behalf.
Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353

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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 Scott 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 AddressPractice Location Address
Alan Scott Graham, MD
Po Box 29391,
Phoenix, AZ 85038-9391

Ph: () -
Alan Scott Graham, MD
1400 S Dobson Rd,
Mesa, AZ 85202-4707

Ph: (480) 412-3340

News Archive

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Pediatrics Doctors in Mesa, AZ

Jyoti S. Lebonheur, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1840 S. Stapley Drive, Suite 101, Mesa, AZ 85204
Phone: 480-464-8500    
Dr. Eric Gabriel Gonzalez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 616 E Southern Ave, #103, Mesa, AZ 85204
Phone: 602-569-3999    Fax: 602-569-3887
Pacita Tee Opulencia, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 59 S Hibbert, Mesa, AZ 85210
Phone: 480-344-6226    Fax: 602-344-6201
Dr. Daniel E Miga, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1432 S Dobson Rd Ste 512, Mesa, AZ 85202
Phone: 480-412-6336    Fax: 480-412-8013
Naresh Reddivalla, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 107, Mesa, AZ 85202
Phone: 480-412-4100    
Dale W Guthrie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4540 E Baseline Rd, Suite 108, Mesa, AZ 85206
Phone: 480-892-3880    Fax: 480-545-4551
Dr. Leno Mammen Thomas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1432 S Dobson Rd Ste 506, Mesa, AZ 85202
Phone: 480-412-6430    

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