| Graceann A Freeman, | |
|
620 W 1st St, Wapato, WA 98951-1108 | |
| (509) 887-4111 | |
| Not Available |
| Full Name | Graceann A Freeman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 620 W 1st St, Wapato, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124227244 | NPI | - | NPPES |
| V110664 | Other | NV | SMA MEDICARE |
| 1124227244 | Other | NV | SMA MEDICAID |
| 1124227244 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APN000955 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | AP61599120 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yakima Valley Farm Workers Clinic | 4385541986 | 274 |
| Yakima Valley Farm Workers Clinic | 4385541986 | 274 |
| Entity Name | Honorhealth Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740273614 PECOS PAC ID: 0345130266 Enrollment ID: O20040316000867 |
| Entity Name | Honorhealth-fastmed Ambulatory Holdings LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467069047 PECOS PAC ID: 0244650505 Enrollment ID: O20201027000044 |
| 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 |
Bonnie Oxford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 W 1st St, Wapato, WA 98951 Phone: 509-877-4111 |
Erika Franco Gutierrez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 W 1st St, Wapato, WA 98951 Phone: 509-314-0182 |