Jason Christopher Graham, APN-C is a medicare enrolled "Registered Nurse" in Rio Grande, New Jersey. His current practice location is
1304 Route Route 47 South, Unit Wu-n - 2nd Floor, Rio Grande, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 451-1125.
Jason Christopher Graham is licensed to practice in New Jersey (license number 26NR09497300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194114454.
Provider's Profile
| Full Name | Jason Christopher Graham |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 1304 Route Route 47 South, Rio Grande, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194114454
- Provider Enumeration Date: 01/09/2015
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840529665
- Enrollment ID: I20190904001006
Medical Identifiers
Medical identifiers for Jason Christopher Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194114454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 26NJ00877100 (New Jersey) | Secondary |
| 163W00000X | Registered Nurse | 26NR09497300 (New Jersey) | 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. Jason Christopher Graham allows following entities to bill medicare on his behalf.
| Entity Name | South Jersey Medical Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215588447
PECOS PAC ID: 1850824574
Enrollment ID: O20241101001268 |
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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. Jason Christopher 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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Jason Christopher Graham, APN-C
1304 Route Route 47 South, Unit Wu-n - 2nd Floor,
Rio Grande, NJ 08242-1416
Ph: (609) 451-1125 | Jason Christopher Graham, APN-C
1304 Route Route 47 South, Unit Wu-n - 2nd Floor,
Rio Grande, NJ 08242-1416
Ph: (609) 451-1125 |
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