Preston Alexander Graham, MD
Individual provider Active NPI Family Medicine Physician · Milton, VT
NPI 1700249752 · NPPES record last updated Apr 21, 2020
Key facts
- NPI
- 1700249752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 042-0014665 (VT)
- Practice address
- 28 Centre Dr
Milton, VT 05468-3104 - Phone
- (802) 847-2700
- NPI assigned
- Mar 29, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Tufts University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Evergreen Family Health Partners
Practice addresses (Care Compare)
426 Industrial Ave
Suite 130
Williston, VT 05495-4449
Phone (802) 878-1008
8 Essex Way
201 Dba Alderbrook Family Health
Essex Junction, VT 05452-3422
Phone (802) 872-7100
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Uvmhn Home Health and Hospice
- Univ. of Vermont - Fletcher Allen Health Care
- Porter Hospital Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- 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 |
|---|---|---|---|---|
| I20200518000374 | VT | Practitioner - Family Practice | 3678904141 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0014665 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Family Health Partners | Family Medicine | Current |
Accepting new patients |
| University of Vermont Medical Center Inc | Family Medicine | Current |
Accepting new patients |
| Alder Brook Family Health P.C. | Family Medicine | Past |
Accepting new patients |
| Fletcher Allen Health Care Inc | Past | Accepting new patients |
Locations
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
790 College Pkwy
Colchester, VT 05446
Phone (802) 847-1170
8 Essex Way
Ste 201
Essex Junction, VT 05452
Phone (802) 872-7100
37 Haystack Rd
Hinesburg, VT 05461
Phone (802) 847-4322
28 Centre Dr
Milton, VT 05468
Phone (802) 847-4322
3 Timber Ln
South Burlington, VT 05403
Phone (802) 847-3339
426 Industrial Ave
Ste 130
Williston, VT 05495
Phone (518) 593-7466
28 Park Ave
Williston, VT 05495
Phone (802) 878-1008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VT | ||
| Family Medicine Physician | 207Q00000X | 042-0014665 | VT | Yes |
Addresses
Primary practice location
28 Centre Dr
Milton, VT 05468-3104
Mailing address
28 Centre Dr
Milton, VT 05468-3104
Phone (802) 847-2700
Other practice location 1
790 College Pkwy
Colchester, VT 05446-3007
Phone (802) 847-1170
Other practice location 2
37 Haystack Rd
Hinesburg, VT 05461-6613
Phone (802) 847-7400
Other practice location 3
3 Timber Ln
South Burlington, VT 05403-7205
Phone (802) 847-8500
Other providers in Milton, VT
- Melisa Gail Gibson
- Mark Steven Ginsburg
- Rebecca Rae Gladden
- Susan Marie Gokey
- Michael Gordon
- Granite Pharmacy Inc.
- Zachary Robert Grenier
- Katrina Alison Groseclose
- Andrew M Gross
- Kimberly A Hageman
All providers in Milton, VT · Family Medicine Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2020. 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.