Lacy Jo Graham, APRN-C - Medicare Nurse Practitioner in Duarte, CA

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Lacy Jo Graham, APRN-C is a medicare enrolled "Nurse Practitioner - Family" in Duarte, California. Her current practice location is 1500 E. Duarte Road, Duarte, California. You can reach out to her office (for appointments etc.) via phone at (626) 256-4673.

Lacy Jo Graham is licensed to practice in California (license number 95010753) 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 1225439391.

Contact Information

Lacy Jo Graham, APRN-C
1500 E. Duarte Road,
Duarte, CA 91010
(626) 256-4673
Not Available

Map and Direction




Provider's Profile

Full NameLacy Jo Graham
GenderFemale
SpecialityNurse Practitioner - Family
Location1500 E. Duarte Road, Duarte, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225439391
  • Provider Enumeration Date: 09/09/2014
  • Last Update Date: 12/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9739402496
  • Enrollment ID: I20150105000436

Medical Identifiers

Medical identifiers for Lacy Jo Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225439391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 76537 (Kansas)Secondary
363LF0000XNurse Practitioner - Family 113746 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 95010753 (California)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. Lacy Jo Graham allows following entities to bill medicare on her behalf.
Entity NameSt John Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867

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. Lacy Jo 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
Lacy Jo Graham, APRN-C
Po Box 512185,
Los Angeles, CA 90051-0185

Ph: () -		Lacy Jo Graham, APRN-C
1500 E. Duarte Road,
Duarte, CA 91010

Ph: (626) 256-4673

Reviews and Comments


Nurse Practitioner Nurses in Duarte, CA

Miss Janice Mae Villegas, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2236 Park Rose Ave, Duarte, CA 91010
Phone: 626-475-4663    
Mrs. Erica H Chin, RN, NP, MS
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 East Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    Fax: 626-471-7155
Maria Elena Dela Rosa, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    
Mr. Shawn Robert Hurley, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 800-826-4673    
Rebecca Janice Peng,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 800-826-4673    
Tim Nguyen, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    
Miss Gabriela Claudia Medrano, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1500 Duarte Rd, Duarte, CA 91010
Phone: 626-256-4673    

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.