Courtney R Graham, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Hannibal, Missouri. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is
6000 Hospital Dr, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 248-5621.
Courtney R Graham is licensed to practice in Missouri (license number 146423) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487759502.
Physician's Profile
| Full Name | Courtney R Graham |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 21 Years |
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| Location | 6000 Hospital Dr, Hannibal, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney R Graham graduated from medical school in 2003
NPI Data:
- NPI Number: 1487759502
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951391960
- Enrollment ID: I20070417000101
Medical Identifiers
Medical identifiers for Courtney R Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487759502 | NPI | - | NPPES |
| 910840008 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | C01442 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209006952 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 146423 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hannibal Regional Healthcare System Inc | 1254236300 | 205 |
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. Courtney R Graham allows following entities to bill medicare on her behalf.
| Entity Name | Hannibal Regional Healthcare System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003956095
PECOS PAC ID: 1254236300
Enrollment ID: O20031203000229 |
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| Entity Name | Western Anesthesiology Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275646754
PECOS PAC ID: 6204720667
Enrollment ID: O20040209000602 |
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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. Courtney R Graham 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 |
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Courtney R Graham, CRNA
6000 Hospital Dr., P.o. Box 551,
Hannibal, MO 63401-0551
Ph: (573) 248-5621 | Courtney R Graham, CRNA
6000 Hospital Dr,
Hannibal, MO 63401-6887
Ph: (573) 248-5621 |
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