Jason Tyler Gordon Graham, NP - Medicare Nurse Practitioner in Poteau, OK

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Jason Tyler Gordon Graham, NP is a medicare enrolled "Nurse Practitioner - Family" in Poteau, Oklahoma. His current practice location is 104 Wall St, Poteau, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 635-3508.

Jason Tyler Gordon Graham is licensed to practice in Arkansas (license number 222349) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285317735.

Contact Information

Jason Tyler Gordon Graham, NP
104 Wall St,
Poteau, OK 74953-4405
(918) 635-3508
(918) 635-3550

Map and Direction




Provider's Profile

Full NameJason Tyler Gordon Graham
GenderMale
SpecialityNurse Practitioner - Family
Location104 Wall St, Poteau, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285317735
  • Provider Enumeration Date: 08/10/2023
  • Last Update Date: 05/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7416311709
  • Enrollment ID: I20240924003121

Medical Identifiers

Medical identifiers for Jason Tyler Gordon Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285317735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 222349 (Arkansas)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. Jason Tyler Gordon Graham allows following entities to bill medicare on his behalf.
Entity NameLeflore County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043265895
PECOS PAC ID: 7719916956
Enrollment ID: O20060804000192

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. Jason Tyler Gordon 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 AddressPractice Location Address
Jason Tyler Gordon Graham, NP
105 Wall St,
Poteau, OK 74953-4433

Ph: (918) 635-3566		Jason Tyler Gordon Graham, NP
104 Wall St,
Poteau, OK 74953-4405

Ph: (918) 635-3508

Reviews and Comments


Nurse Practitioner Nurses in Poteau, OK

Lois L Gotes, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1013 Dewey Ave, Poteau, OK 74953
Phone: 918-647-2929    Fax: 918-647-2288
Mr. Timothy Ray Olive, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2011 N Broadway St, Poteau, OK 74953
Phone: 918-647-7416    Fax: 918-647-3508
Jeanne R Guinn, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 204 Wall St Ste A, Poteau, OK 74953
Phone: 918-647-2155    Fax: 918-967-4582
Tracy Leann Morgan, APRN FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Broadway Ave Ste 5, Poteau, OK 74953
Phone: 918-210-0167    Fax: 918-564-2719
Mrs. Kimberly Kay Cobb, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 210 W Robert St, Poteau, OK 74953
Phone: 918-649-0069    Fax: 918-649-0067
Emily L Harrah, APRN-FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Tarby Rd, Poteau, OK 74953
Phone: 918-647-2155    Fax: 918-647-4095

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.