Graceann A Freeman, is a medicare enrolled "Nurse Practitioner" in Wapato, Washington. Her current practice location is
620 W 1st St, Wapato, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 887-4111.
Graceann A Freeman is licensed to practice in Washington (license number AP61599120) 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 1124227244.
Provider's Profile
| Full Name | Graceann A Freeman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 620 W 1st St, Wapato, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124227244
- Provider Enumeration Date: 07/18/2007
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082776562
- Enrollment ID: I20081217000202
Medical Identifiers
Medical identifiers for Graceann A Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124227244 | NPI | - | NPPES |
| V110664 | Other | NV | SMA MEDICARE |
| 1124227244 | Other | NV | SMA MEDICAID |
| 1124227244 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | APN000955 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | AP61599120 (Washington) | 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. Graceann A Freeman allows following entities to bill medicare on her behalf.
| Entity Name | Dispatchhealth Nv Wagner Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023538790
PECOS PAC ID: 5193090298
Enrollment ID: O20170928003257 |
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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. Graceann A Freeman 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 |
|---|
Graceann A Freeman,
Po Box 15645,
Las Vegas, NV 89114-5645
Ph: (702) 579-3298 | Graceann A Freeman,
620 W 1st St,
Wapato, WA 98951-1108
Ph: (509) 887-4111 |
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