Anna Grace Stephenson, FNP is a medicare enrolled "Family Medicine" physician in Erwin, North Carolina. Her current practice location is
25 Professional Park, Erwin, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 292-4097.
Anna Grace Stephenson is licensed to practice in North Carolina (license number F07241006) 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 1306675079.
Physician's Profile
| Full Name | Anna Grace Stephenson |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 25 Professional Park, Erwin, North Carolina |
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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: 1306675079
- Provider Enumeration Date: 07/30/2024
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315471661
- Enrollment ID: I20241111000259
Medical Identifiers
Medical identifiers for Anna Grace Stephenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306675079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F07241006 (North Carolina) | 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. Anna Grace Stephenson allows following entities to bill medicare on her behalf.
| Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144803040
PECOS PAC ID: 6901290238
Enrollment ID: O20220302000414 |
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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. Anna Grace Stephenson 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 |
|---|
Anna Grace Stephenson, FNP
616 Oberlin Rd Unit 203,
Raleigh, NC 27605-3136
Ph: (919) 247-4090 | Anna Grace Stephenson, FNP
25 Professional Park,
Erwin, NC 28339-9105
Ph: (910) 292-4097 |
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