Krystle M Graham, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Chicago, Illinois. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advocate Health And Hospitals Corporation and her current practice location is
2315 E 93rd St Ste 440, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 768-6400.
Krystle M Graham is licensed to practice in Illinois (license number 209023626) 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 1720757198.
Physician's Profile
Full Name | Krystle M Graham |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 5 Years |
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Location | 2315 E 93rd St Ste 440, Chicago, Illinois |
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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. |
Medical Education and Training:
- Krystle M Graham graduated from medical school in 2020
NPI Data:
- NPI Number: 1720757198
- Provider Enumeration Date: 09/09/2021
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668867763
- Enrollment ID: I20220325002062
Medical Identifiers
Medical identifiers for Krystle M Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720757198 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 209.023626 (Illinois) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 209023626 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
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. Krystle M Graham allows following entities to bill medicare on her behalf.
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Hospital Department(s) |
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Entity Identifiers | NPI Number: 1629441027 PECOS PAC ID: 7810800935 Enrollment ID: O20151211000056 |
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Entity Name | Defined Lj, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497419261 PECOS PAC ID: 7012361165 Enrollment ID: O20230925000427 |
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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. Krystle M 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 |
Krystle M Graham, AGACNP-BC 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Krystle M Graham, AGACNP-BC 2315 E 93rd St Ste 440, Chicago, IL 60617-3951 Ph: (773) 768-6400 |
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