Debra A Graham (NPI# 1548261381, PAC ID# 4284722497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1548261381 |
| PAC ID by PECOS | 4284722497 |
| Professional Enrollment ID | I20100615000046 |
| Full Name | Debra A Graham |
| Organization Legal Name | BAY EYE CLINIC PC |
| Address |
3585 Broadway Ave North Bend OR 97459-1251 |
| Phone Number | 5417562587 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0446249437 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380090 | BAY AREA HOSPITAL |
| 381316 | PEACE HARBOR MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3585 Broadway Ave, North Bend, OR 97459-1251 | 5417562587 | BAY EYE CLINIC PC |
| Organization Legal Name | BAY EYE CLINIC PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane Gilbert | Ophthalmology | Bay Eye Clinic PC | 3585 Broadway Ave, North Bend, OR 97459-1251 |
| Jon C Kintner | Ophthalmology | Bay Eye Clinic PC | 3585 Broadway Ave, North Bend, OR 97459-1251 |
| Street Address |
3585 BROADWAY AVE |
| City | NORTH BEND |
| State | OR |
| Zip | 97459-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane Gilbert | Ophthalmology | Bay Eye Clinic PC | 3585 Broadway Ave, North Bend, OR 97459-1251 |
| Jon C Kintner | Ophthalmology | Bay Eye Clinic PC | 3585 Broadway Ave, North Bend, OR 97459-1251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Roberts | Oral Surgery | 3500 Cedar St, North Bend, OR 97459-1108 | |
| Melody L Sheldon | Qualified Speech Language Pathologist | 2085 Inland Dr A, North Bend, OR 97459-1203 | |
| William A Bennett | Podiatry | 2085 Inland Dr, Suite B, North Bend, OR 97459-1203 | |
| Ronald M St Jean | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Kathleen Emma Voge | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Shirley D Reynolds | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Pernilla Johansson | Clinical Social Worker | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| David W Walker | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| Pei J Purdom | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Yvonne L Fenrich | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Find all physicians in zip 97459 | |||
| City | NORTH BEND |
| Zip Code | 97459 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | NORTH BEND + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Debra A Graham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.