Autumn Marie Graham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Daingerfield, Texas. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Titus County Hospital District and her current practice location is
1402 Linda Dr, Daingerfield, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 434-8066.
Autumn Marie Graham is licensed to practice in Texas (license number AP144493) 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 1073153417.
Provider's Profile
| Full Name | Autumn Marie Graham |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 1402 Linda Dr, Daingerfield, Texas |
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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. |
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Medical Education and Training:
- Autumn Marie Graham graduated from nursing school in 2016
NPI Data:
- NPI Number: 1073153417
- Provider Enumeration Date: 01/14/2020
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840629754
- Enrollment ID: I20200327002599
Medical Identifiers
Medical identifiers for Autumn Marie Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073153417 | NPI | - | NPPES |
| AP144493 | Other | TX | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP144493 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Titus County Hospital District | 0143203257 | 75 |
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. Autumn Marie Graham allows following entities to bill medicare on her behalf.
| Entity Name | Titus County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063548881
PECOS PAC ID: 0143203257
Enrollment ID: O20120525000534 |
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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. Autumn Marie 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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Autumn Marie Graham, FNP
2001 N Jefferson Ave,
Mount Pleasant, TX 75455-2338
Ph: (903) 577-6000 | Autumn Marie Graham, FNP
1402 Linda Dr,
Daingerfield, TX 75638-2132
Ph: (903) 434-8066 |
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