Graham Charles Andrews, is a medicare enrolled "Nurse Practitioner - Family" in Ponderay, Idaho. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Idaho Pain Clinic Pllc and his current practice location is
400 Schweitzer Plaza Dr Ste 1, Ponderay, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 263-0649.
Graham Charles Andrews is licensed to practice in Idaho (license number 62286) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932758083.
Provider's Profile
| Full Name | Graham Charles Andrews |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 400 Schweitzer Plaza Dr Ste 1, Ponderay, Idaho |
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| Accepts Medicare Assignments | Yes. He 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:
- Graham Charles Andrews graduated from nursing school in 2019
NPI Data:
- NPI Number: 1932758083
- Provider Enumeration Date: 09/10/2019
- Last Update Date: 09/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 4082034681
- Enrollment ID: I20211110000895
Medical Identifiers
Medical identifiers for Graham Charles Andrews such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932758083 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 62286 (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Idaho Pain Clinic Pllc | 3274712609 | 8 |
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. Graham Charles Andrews allows following entities to bill medicare on his behalf.
| Entity Name | Bonner General Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014 |
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| Entity Name | Idaho Pain Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417267329
PECOS PAC ID: 3274712609
Enrollment ID: O20110131000990 |
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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. Graham Charles Andrews 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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Graham Charles Andrews,
9408 N Prince William Loop,
Hayden, ID 83835-0048
Ph: (208) 290-6147 | Graham Charles Andrews,
400 Schweitzer Plaza Dr Ste 1,
Ponderay, ID 83852-9819
Ph: (208) 263-0649 |
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