Kelly Graham, FNP in Chesapeake, VA - Medicare Nurse Practitioner

Kelly Graham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Chesapeake, Virginia. Her current practice location is 213 River Walk Pkwy, Chesapeake, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 983-1777.

Kelly Graham is licensed to practice in Virginia (license number 0024173581) 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 1720530629.

Contact Information

	Kelly Graham, FNP
	213 River Walk Pkwy, Chesapeake, VA 23320-6893
	(757) 983-1777
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Graham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	213 River Walk Pkwy, Chesapeake, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720530629
Provider Enumeration Date: 10/26/2016
Last Update Date: 01/05/2021

Medicare PECOS Information:

PECOS PAC ID: 6002198959
Enrollment ID: I20170130000326

Medical Identifiers

Medical identifiers for Kelly Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720530629	NPI	-	NPPES
1720530629	Medicaid	VA
1720530629	Other	VA	MULTIPLAN
1720530629	Other	VA	CORVEL
1720530629	Other	VA	HUMANA
1720530629	Other	VA	USA MANAGED CARE
1720530629	Other	VA	VIRGINIA PREMIER HEALTH PLAN
1720530629	Other	VA	TRICARE/CHAMPUS
1720530629	Other	VA	OPTIMA HEALTH
1720530629	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024173581 (Virginia)	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. Kelly Graham allows following entities to bill medicare on her behalf.

Entity Name	Evms Academic Physicians And Surgeons Health Services Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003887118 PECOS PAC ID: 5698675510 Enrollment ID: O20040304001377

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. Kelly 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
Kelly Graham, FNP Po Box 936, Norfolk, VA 23501-0936 Ph: (757) 689-5104	Kelly Graham, FNP 213 River Walk Pkwy, Chesapeake, VA 23320-6893 Ph: (757) 983-1777

Reviews and Comments

Nurse Practitioner Nurses in Chesapeake, VA

Lisa M Hills I, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4350 Taylor Road, Suite K, Chesapeake, VA 23321 Phone: 757-483-6401 Fax: 757-686-3025
Marcella Bowen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 Kent Pl, Chesapeake, VA 23320 Phone: 757-426-0605
Jessica Gregory, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1210 Progressive Dr Ste 101, Chesapeake, VA 23320 Phone: 757-991-0190
Mrs. Danielle Susan Cavallo-fat, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Bowling Green Trl, Chesapeake, VA 23320 Phone: 757-353-7525
Loretta Holley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1910 Stonehurst St, Chesapeake, VA 23324 Phone: 757-472-8893
Stacy Jarrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 Innovation Dr Ste 102, Chesapeake, VA 23320 Phone: 833-510-4357
Mrs. Rachel Fraker Firman, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723

Kelly Graham, FNP - Medicare Nurse Practitioner in Chesapeake, VA