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MACKENZIE E. T. GRAHAM PA-C, MPH
NPI 1619258068
Physician Assistant - Surgical in Dayton, OH

Active since August 30, 2011PECOS EnrolledAccepts Medicare Assignment
ONE WYOMING STREET, DAYTON, OH 45409(937) 208-2665 Get Directions Write a Review

NPPES record last updated: August 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie E. T. Graham Pa-c, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE E. T. GRAHAM PA-C, MPH (NPI 1619258068) is an individual surgical provider in Dayton, Ohio, licensed in Ohio (003317) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1619258068
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMACKENZIE E. T. GRAHAMCredential: PA-C, MPH
Location AddressONE WYOMING STREETDayton, OH 45409
Mailing Address309 Ives LnKettering, OH 45429-3006 · (570) 449-6447
Phone(937) 208-2665
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 30, 2011
✔ NPI 1619258068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OH · 003317
ONE WYOMING STREET, Dayton, OH 45409
Open in Google Maps ↗

Other Names 1

Former Name (1)Mackenzie E. Tomazin Pa-c, Mph

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mackenzie E. T. Graham Pa-c, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547785693
PECOS Enrollment IDI20250422000381
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIAMI VALLEY HOSPITAL
General Acute Care Hospital
ONE WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-8000
MR. WILLIAM JAMES QUILTER
General Acute Care Hospital
ONE WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-8000
ERIN D UNDERWOOD DO
Anesthesiology
ONE WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-6173
DR. PARVIZ DANESHJOO MD
Obstetrics & Gynecology (Gynecology)
ONE WYOMING STREET, STE 4110
DAYTON, OH 45409
Montgomery County (937) 208-5241
MRS. JESSALIN WIESER APRN-CNP
Nurse Practitioner
ONE WYOMING STREET, STE 3272
DAYTON, OH 45409
Montgomery County (937) 208-6790
MS. ROBIN JO COREY P.T.
Physical Therapist
ONE WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-3956
MARISSA LYNN STEINHELFER OTR/L
Occupational Therapist
ONE WYOMING STREET
DAYTON, OH 45409
Montgomery County (937) 208-4184
VICKI LYNN RAGER COLON M.D.
Obstetrics & Gynecology
ONE WYOMING STREET, SUITE 3120
DAYTON, OH 45409
Montgomery County (937) 208-5665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Graham's NPI number?

The NPI number for Mackenzie Graham is 1619258068. It was assigned to this individual provider in the NPPES registry on August 30, 2011. The provider is also known as Mackenzie E. Tomazin Pa-C, Mph.

Where is Mackenzie Graham located?

Mackenzie Graham practices at One Wyoming Street, Dayton, OH 45409. The listed phone number is (937) 208-2665.

What is Mackenzie Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mackenzie Graham enrolled in Medicare?

Yes. Mackenzie Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mackenzie Graham accept?

Health plans from CareSource and MedMutual list Mackenzie Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mackenzie Graham affiliated with any hospitals?

According to CMS data, Mackenzie Graham is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mackenzie Graham was last updated on August 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.