Mrs Lacey Starr Graham, CRNP in Dora, AL - Medicare Nurse Practitioner

Mrs Lacey Starr Graham, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Dora, Alabama. Her current practice location is 2391 Highway 78, Dora, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 255-7052.

Mrs Lacey Starr Graham is licensed to practice in Alabama (license number 1-153271) 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 1124612510.

Contact Information

	Mrs Lacey Starr Graham, CRNP
	2391 Highway 78, Dora, AL 35062-5233
	(205) 255-7052
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Lacey Starr Graham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2391 Highway 78, Dora, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124612510
Provider Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021

Medicare PECOS Information:

PECOS PAC ID: 9335536143
Enrollment ID: I20220426002143

Medical Identifiers

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

Identifier	Type	State	Issuer
1124612510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-153271 (Alabama)	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. Mrs Lacey Starr Graham allows following entities to bill medicare on her behalf.

Entity Name	Qv Urgent Care Tx Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781

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 Lacey Starr 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 Lacey Starr Graham, CRNP 5411 Camellia Ln, Trussville, AL 35173-6322 Ph: (205) 243-1245	Mrs Lacey Starr Graham, CRNP 2391 Highway 78, Dora, AL 35062-5233 Ph: (205) 255-7052

Reviews and Comments

Nurse Practitioner Nurses in Dora, AL

Miranda Suchey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2165 Highway 78 Ste 100, Dora, AL 35062 Phone: 205-648-4567
Ashley Godfrey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2391 Highway 78, Dora, AL 35062 Phone: 205-255-7052
Katie Lauren Braden, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Midway Plz Ste B, Dora, AL 35062 Phone: 205-255-7052
Alicia Collier, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2165 Highway 78 Ste 100, Dora, AL 35062 Phone: 205-648-4567
Mrs. Victoria Chante Brasher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27 Midway Plz Ste B, Dora, AL 35062 Phone: 205-255-7052
Mrs. Brooke Diane Loveless-yates, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2371 Highway 78, Dora, AL 35062 Phone: 205-255-7052 Fax: 205-255-7053

Mrs Lacey Starr Graham, CRNP - Medicare Nurse Practitioner in Dora, AL