Mrs Andrea Marie Graham, RD,LD is a
Dietitian, Registered based in Memphis, Missouri. Mrs Andrea Marie Graham is licensed to practice in Missouri (license number 2013034940) and her current practice location is
450 E Sigler Ave, Memphis, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 465-8511.
NPI number for Mrs Andrea Marie Graham is 1184050114 and her current mailing address is 450 East Sigler Ave., Memphis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184050114.
Healthcare Provider's Profile
Full Name | Mrs Andrea Marie Graham |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 450 E Sigler Ave, Memphis, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184050114
- Provider Enumeration Date: 09/23/2013
- Last Update Date: 04/22/2016
Medical Identifiers
Medical identifiers for Mrs Andrea Marie Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184050114 | NPI | - | NPPES |
MA4848001 | Other | MO | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2013034940 (Missouri) | Primary |
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. Mrs Andrea Marie Graham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Andrea Marie Graham, RD,LD 450 East Sigler Ave., Memphis, MO 63555 Ph: (660) 465-8511 | Mrs Andrea Marie Graham, RD,LD 450 E Sigler Ave, Memphis, MO 63555-1726 Ph: (660) 465-8511 |
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