Amanda Graham, FNP is a medicare enrolled "Nurse Practitioner" in Bridgeport, Michigan. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Great Lakes Bay Health Centers and her current practice location is
6297 Dixie Hwy, Bridgeport, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 759-6460.
Amanda Graham is licensed to practice in Michigan (license number 4704260551) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447500137.
Provider's Profile
Full Name | Amanda Graham |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 12 Years |
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Location | 6297 Dixie Hwy, Bridgeport, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Graham graduated from nursing school in 2012
NPI Data:
- NPI Number: 1447500137
- Provider Enumeration Date: 09/11/2012
- Last Update Date: 04/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799938239
- Enrollment ID: I20130110000591
Medical Identifiers
Medical identifiers for Amanda Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447500137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 4704260551 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Great Lakes Bay Health Centers | 2466369046 | 65 |
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. Amanda Graham allows following entities to bill medicare on her behalf.
Entity Name | Great Lakes Bay Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171 |
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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. Amanda 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 |
Amanda Graham, FNP 501 Lapeer Ave, Saginaw, MI 48607-1208 Ph: (989) 759-6464 | Amanda Graham, FNP 6297 Dixie Hwy, Bridgeport, MI 48722-9635 Ph: (989) 759-6460 |
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