840 E HILL AVE
MOSES LAKE, WA 98837-2238 US PECOS Enrolled
Evan Michael Graham
Internal Medicine Physician (Geriatric Medicine)
- MOSES LAKE, WA
- Phone: (509)-765-0216
- Last Updated 8/2/2013
Overview
Evan Michael Graham is a Internal Medicine Physician (Geriatric Medicine) in the MOSES LAKE area and has over 40 years of experience. Evan Michael Graham primary office location is at 840 E HILL AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of New Mexico School Of Medicine and graduated 1984
Evan Michael Graham is affiliated with one hospital in the MOSES LAKE area, CENTRAL WASHINGTON HOSPITAL. The NPI number is 1336174663 and the information was updated approximately 11 years ago.
Evan Michael Graham is part of two medical groups, including WENATCHEE VALLEY HOSPITAL.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD00021439 | WA |
| Board Certifications |
|---|
| Geriatric Medicine |
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| L&I | 30749 | WA |
| MEDICAID | 8626806 | WA |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician (Geriatric Medicine) - Taxonomy Code 207RG0300X | WA | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20100505000669 |
| PECOS Individual PAC ID: | 5799695235 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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