Stephanie Graham, NP is a medicare enrolled "Nurse Practitioner" physician in Saint Peters, Missouri. Her current practice location is
201 Bjc Saint Peters Dr Ste 200, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 916-7235.
Stephanie Graham is licensed to practice in Missouri (license number 2014038747) 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 1306238704.
Physician's Profile
Full Name | Stephanie Graham |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 201 Bjc Saint Peters Dr Ste 200, Saint Peters, Missouri |
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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: 1306238704
- Provider Enumeration Date: 02/23/2015
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5395065452
- Enrollment ID: I20150513002389
Medical Identifiers
Medical identifiers for Stephanie Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306238704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2014038747 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 2014038747 (Missouri) | 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. Stephanie Graham allows following entities to bill medicare on her behalf.
Entity Name | Cjw Enterprises, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477876423 PECOS PAC ID: 9537293816 Enrollment ID: O20100823000820 |
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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. Stephanie 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 |
Stephanie Graham, NP Po Box 959354, Saint Louis, MO 63195-9354 Ph: (636) 916-7235 | Stephanie Graham, NP 201 Bjc Saint Peters Dr Ste 200, Saint Peters, MO 63376-3386 Ph: (636) 916-7235 |
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