Abby Gragg, is a medicare enrolled "Audiologist" provider in Arkoma, Oklahoma. Her current practice location is
200 Lela St, Arkoma, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(479) 434-0800.
Abby Gragg is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619724952.
Healthcare Provider's Profile
| Full Name | Abby Gragg |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 200 Lela St, Arkoma, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1619724952
- Provider Enumeration Date: 05/03/2024
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0345788410
- Enrollment ID: I20240820003797
Medical Identifiers
Medical identifiers for Abby Gragg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619724952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abby Gragg allows following entities to bill medicare on her behalf.
| Provider Name | Arkansas Hearing And Audiology |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1255822524
PECOS PAC ID: 2860747698
Enrollment ID: O20180620000677 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abby Gragg is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Abby Gragg,
200 Lela St,
Arkoma, OK 74901-4010
Ph: () - | Abby Gragg,
200 Lela St,
Arkoma, OK 74901-4010
Ph: (479) 434-0800 |
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