Dusty Star Graham, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Pinehurst, North Carolina. Her current practice location is
205 Page Rd, Pinehurst, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 295-5511.
Dusty Star Graham is licensed to practice in North Carolina (license number 5011698) 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 1083177679.
Physician's Profile
Full Name | Dusty Star Graham |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 205 Page Rd, Pinehurst, 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. |
NPI Data:
- NPI Number: 1083177679
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 12/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688902547
- Enrollment ID: I20190829004415
Medical Identifiers
Medical identifiers for Dusty Star Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083177679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 210121 (North Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 5011698 (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. Dusty Star Graham allows following entities to bill medicare on her behalf.
Entity Name | Pinehurst Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305 |
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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. Dusty Star 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 |
Dusty Star Graham, FNP 1303 Carthage St, Sanford, NC 27330-8984 Ph: (919) 292-2468 | Dusty Star Graham, FNP 205 Page Rd, Pinehurst, NC 28374-8798 Ph: (910) 295-5511 |
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