Jason Tyler Gordon Graham, NP in Fort Smith, AR

Jason Tyler Gordon Graham, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. His current practice location is 1100 Lexington Ave Ste 400, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (877) 522-1275.

Jason Tyler Gordon Graham is licensed to practice in Arkansas (license number 222349) 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 1285317735.

Contact Information

	Jason Tyler Gordon Graham, NP
	1100 Lexington Ave Ste 400, Fort Smith, AR 72901-5170
	(877) 522-1275
	(509) 491-3031

Map and Direction

Provider's Profile

Full Name	Jason Tyler Gordon Graham
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1100 Lexington Ave Ste 400, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285317735
Provider Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416311709
Enrollment ID: I20230920000760

Medical Identifiers

Medical identifiers for Jason Tyler Gordon Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285317735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	222349 (Arkansas)	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 Tyler Gordon Graham allows following entities to bill medicare on his behalf.

Entity Name	Ideal Option Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283

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 Tyler Gordon 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
Jason Tyler Gordon Graham, NP 5615 Dunbarton Ave, Pasco, WA 99301-8216 Ph: (509) 222-1275	Jason Tyler Gordon Graham, NP 1100 Lexington Ave Ste 400, Fort Smith, AR 72901-5170 Ph: (877) 522-1275

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000

Jason Tyler Gordon Graham, NP - Medicare Nurse Practitioner in Fort Smith, AR