Bradley Scott Graham, MD - Medicare Dermatology in Tyler, TX

Bradley Scott Graham, MD is a medicare enrolled "Dermatology" physician in Tyler, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Oliver Street 5.01(a) Inc, Oliver Street 5.01(a) Inc and his current practice location is 1367 Dominion Plaza, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 534-6200.

Bradley Scott Graham is licensed to practice in Texas (license number L1869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083641062.

Contact Information

Bradley Scott Graham, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013
(903) 534-6200
Not Available



Physician's Profile

Full NameBradley Scott Graham
GenderMale
SpecialityDermatology
Experience34 Years
Location1367 Dominion Plaza, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley Scott Graham attended and graduated from University Of Texas Medical Branch At Galveston in 1990
  NPI Data:
  • NPI Number: 1083641062
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 05/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5597891515
  • Enrollment ID: I20100330000219

Medical Identifiers

Medical identifiers for Bradley Scott Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083641062NPI-NPPES
8865K2OtherTXBLUE CROSS AND BLUE SHIELD PATHOLOGY
145796201MedicaidTX
070016784OtherTXRAILROAD MEDICARE PTAN
8A2682OtherTXBLUE CROSS AND BLUE SHIELD CLINIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology L1869 (Texas)Primary
207ND0900XDermatology - Dermatopathology L1869 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125141
Oliver Street 5.01(a) Inc0042464125141

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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. Bradley Scott Graham allows following entities to bill medicare on his behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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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. Bradley 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
Bradley Scott Graham, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013

Ph: () -
Bradley Scott Graham, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013

Ph: (903) 534-6200

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Dermatology Doctors in Tyler, TX

Shanna Burris Meads, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    
Stephen John Beck, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Alma Criseida Berlingeri Ramos, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Elizabeth Stripling Morris, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Lawrence Lazelle Anderson, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Thomas Lambert Jr., MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5791 Copeland Rd, Tyler, TX 75703
Phone: 903-509-2020    

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