Holly Dawn Graves, APRN is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Derby, Kansas. Her current practice location is
1101 N Rock Rd, Derby, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 788-6963.
Holly Dawn Graves is licensed to practice in Kansas (license number 53-76970-122) 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 1083085898.
Provider's Profile
Full Name | Holly Dawn Graves |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Family Health |
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Location | 1101 N Rock Rd, Derby, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083085898
- Provider Enumeration Date: 10/19/2015
- Last Update Date: 10/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557671229
- Enrollment ID: I20220728003460
Medical Identifiers
Medical identifiers for Holly Dawn Graves such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083085898 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SF0001X | Clinical Nurse Specialist - Family Health | 53-76970-122 (Kansas) | 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. Holly Dawn Graves allows following entities to bill medicare on her behalf.
Entity Name | Florida Department Of Health |
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Entity Type | Part B Supplier - Public Health/welfare Agency |
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Entity Identifiers | NPI Number: 1790746535 PECOS PAC ID: 3072424282 Enrollment ID: O20061222000176 |
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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. Holly Dawn Graves 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 |
Holly Dawn Graves, APRN 1101 N Rock Rd, Derby, KS 67037-3705 Ph: (316) 788-6963 | Holly Dawn Graves, APRN 1101 N Rock Rd, Derby, KS 67037-3705 Ph: (316) 788-6963 |
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