Graham R Mann Jr., DO
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Hanover, PA
NPI 1396366332 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1396366332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- OS023956 (PA)
- Practice address
- 1227 Baltimore St
Hanover, PA 17331-4406 - Phone
- (717) 812-7559
- Fax
- (717) 632-2422
- NPI assigned
- Apr 30, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Sports Medicine
- Education
- Liberty Univ College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-7559
Hospital & facility affiliations
- Gettysburg Hospital
- Wellspan York Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807000801 | SC | Practitioner - Family Practice | 8224450283 | Reassigns benefits to 3 organizations |
| I20240814000845 | PA | Practitioner - Sports Medicine | 8224450283 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Current |
Accepting new patients | |
| Anmed Health Voice Clinic | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Anmed Health | Current |
Accepting new patients | |
| Anmed Health | Current |
Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131
2000 E Greenville St
Ste 3600
Anderson, SC 29621
Phone (864) 512-1115
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473
600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787
895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
Interoperability endpoints
- gmann56540@direct.anmedhealth.net
- gmann451045@wellspan.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 89521 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 89521 | SC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS023956 | PA | Yes |
Addresses
Primary practice location
1227 Baltimore St
Hanover, PA 17331-4406
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
2000 E Greenville St Ste 3600
Anderson, SC 29621-1725
Phone (645) 121-4738
Other providers in Hanover, PA
- Neil D Majmundar
- Omeir Mallick
- Patricia Mary Malone
- Beth Lepkowski Maloney
- Magis Mandapathil
- Mervat Nagib Mansour
- Valerie Maria Mantz
- Marc a. Hirsh, M.D P.C
- Chelsea Erin Marks
- Gregory Lee Marrocco
All providers in Hanover, PA · Sports Medicine (Family Medicine) Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.