Mrs Angela Graham, CFNP in Sebastopol, MS - Medicare Nurse Practitioner

Mrs Angela Graham, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Sebastopol, Mississippi. She graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fast Pace Mississippi Pllc, Baptist Medical Center-leake, Inc. and her current practice location is 17509 Highway 21 South, Sebastopol, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 267-1320.

Mrs Angela Graham is licensed to practice in Mississippi (license number R855944) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407884356.

Contact Information

	Mrs Angela Graham, CFNP
	17509 Highway 21 South, Sebastopol, MS 39359-0082
	(601) 267-1320
	(601) 267-5422

Map and Direction

Provider's Profile

Full Name	Mrs Angela Graham
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	17509 Highway 21 South, Sebastopol, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Angela Graham graduated from nursing school in 2000

NPI Data:

NPI Number: 1407884356
Provider Enumeration Date: 06/29/2006
Last Update Date: 11/12/2025

Medicare PECOS Information:

PECOS PAC ID: 0648379149
Enrollment ID: I20070625000419

Medical Identifiers

Medical identifiers for Mrs Angela Graham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407884356	NPI	-	NPPES
0123601	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R855944 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Medical Center-leake	Carthage, MS	Hospital
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fast Pace Mississippi Pllc	3678832029	170
Baptist Medical Center-leake, Inc.	7214102961	15

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. Mrs Angela Graham allows following entities to bill medicare on her behalf.

Entity Name	Medical Foundation Of Central Mississippi Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380

Entity Name	Baptist Medical Center-leake, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356626618 PECOS PAC ID: 7214102961 Enrollment ID: O20120112000444

Entity Name	Bmc - Attala, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023481595 PECOS PAC ID: 6204142771 Enrollment ID: O20160217001680

Entity Name	Fast Pace Mississippi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291

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. Mrs Angela 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 Address	Practice Location Address
Mrs Angela Graham, CFNP 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: () -	Mrs Angela Graham, CFNP 17509 Highway 21 South, Sebastopol, MS 39359-0082 Ph: (601) 267-1320

Reviews and Comments

Nurse Practitioner Nurses in Sebastopol, MS

Mrs. Gaydon Nowell, M.S.N PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487 East, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404
Ashley Kaye Barber, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17509 Highway 21, Sebastopol, MS 39359 Phone: 601-287-8177 Fax: 833-934-3464
Karen Reece, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Highway 487, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404
Kayti A Powell, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1488 Hwy 487 East, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404
Mary Rose Thomas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404
Ms. Reathia Sue Summers, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 157 Hwy 492, Sebastopol, MS 39359 Phone: 601-668-0302

Mrs Angela Graham, CFNP - Medicare Nurse Practitioner in Sebastopol, MS