Nicole Graham, PHD - Medicare in Fort Lauderdale, FL

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Nicole Graham, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Fort Lauderdale, Florida. Her current practice location is 12 Se 7th St Ste 705, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 365-5366.

Nicole Graham is licensed to practice in Florida (license number PY10889) 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 1568742435.

Contact Information

Nicole Graham, PHD
12 Se 7th St Ste 705,
Fort Lauderdale, FL 33301-3469
(954) 365-5366
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Graham
GenderFemale
SpecialityClinical Neuropsychologist
Location12 Se 7th St Ste 705, Fort Lauderdale, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568742435
  • Provider Enumeration Date: 08/24/2011
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012337967
  • Enrollment ID: I20201015001577

Medical Identifiers

Medical identifiers for Nicole Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568742435NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY10889 (Florida)Secondary
103TC0700XPsychologist - Clinical PY10889 (Florida)Secondary
103TF0200XPsychologist - Forensic PY10889 (Florida)Secondary
103G00000XClinical Neuropsychologist PY10889 (Florida)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. Nicole Graham allows following entities to bill medicare on her behalf.
Entity NameNeuroscience Consultants Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346217452
PECOS PAC ID: 8729040670
Enrollment ID: O20041102000824
Entity NameNicole Graham Phd Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427664176
PECOS PAC ID: 9335569284
Enrollment ID: O20201015001266

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. Nicole 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 AddressPractice Location Address
Nicole Graham, PHD
12 Se 7th St Ste 705,
Fort Lauderdale, FL 33301-3469

Ph: (954) 365-5366		Nicole Graham, PHD
12 Se 7th St Ste 705,
Fort Lauderdale, FL 33301-3469

Ph: (954) 365-5366

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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