Dr Amy Graddy St John, DC, LMT is a medicare enrolled "Chiropractor" provider in Plano, Texas. Her current practice location is
4011 W Plano Pkwy Ste 100, Plano, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 801-0741.
Dr Amy Graddy St John is licensed to practice in Texas (license number 11054) 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 1528396934.
Healthcare Provider's Profile
Full Name | Dr Amy Graddy St John |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 4011 W Plano Pkwy Ste 100, Plano, Texas |
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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: 1528396934
- Provider Enumeration Date: 11/23/2009
- Last Update Date: 03/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426310020
- Enrollment ID: I20180320001243
Medical Identifiers
Medical identifiers for Dr Amy Graddy St John such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528396934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MT028852 (Texas) | Secondary |
111N00000X | Chiropractor | 11054 (Texas) | 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. Dr Amy Graddy St John allows following entities to bill medicare on her behalf.
Provider Name | Serendipity Health & Wellness Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1861713661 PECOS PAC ID: 7517229115 Enrollment ID: O20180320000105 |
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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. Dr Amy Graddy St John 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 |
Dr Amy Graddy St John, DC, LMT 4011 W Plano Pkwy Ste 100, Plano, TX 75093-5620 Ph: (214) 801-0741 | Dr Amy Graddy St John, DC, LMT 4011 W Plano Pkwy Ste 100, Plano, TX 75093-5620 Ph: (214) 801-0741 |
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