Stephanie Graham, FNP-BC - Medicare Family Medicine in Lake St Louis, MO

Stephanie Graham, FNP-BC is a medicare enrolled "Family Medicine" physician in Lake St Louis, Missouri. Her current practice location is 100 Brevco Plz Ste 107, Lake St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-3396.

Stephanie Graham is licensed to practice in Missouri (license number 2014038747) 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 1306238704.

Contact Information

Stephanie Graham, FNP-BC
100 Brevco Plz Ste 107,
Lake St Louis, MO 63367-1392
(636) 561-3396
Not Available



Physician's Profile

Full NameStephanie Graham
GenderFemale
SpecialityFamily Medicine
Location100 Brevco Plz Ste 107, Lake St Louis, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306238704
  • Provider Enumeration Date: 02/23/2015
  • Last Update Date: 02/23/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5395065452
  • Enrollment ID: I20150513002389

Medical Identifiers

Medical identifiers for Stephanie Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306238704NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2014038747 (Missouri)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. Stephanie Graham allows following entities to bill medicare on her behalf.
Entity NameCjw Enterprises, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477876423
PECOS PAC ID: 9537293816
Enrollment ID: O20100823000820

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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. Stephanie 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
Stephanie Graham, FNP-BC
1005 Haversham Ct,
Saint Charles, MO 63304-1600

Ph: () -
Stephanie Graham, FNP-BC
100 Brevco Plz Ste 107,
Lake St Louis, MO 63367-1392

Ph: (636) 561-3396

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Family Medicine Doctors in Lake St Louis, MO

Mary Sawlai Hoang, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake St Louis, MO 63367
Phone: 636-561-3021    Fax: 636-561-3022
Dr. Tara Rognan, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367
Phone: 636-625-2662    
Dr. Scott K Roos, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6261 Ronald Reagan Dr, Ste B19, Lake St Louis, MO 63367
Phone: 636-561-3021    Fax: 636-561-3022
Dr. Brian M Smith, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367
Phone: 636-625-2662    
Dr. Jason B Vangundy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 Medical Plz Ste 200, Lake St Louis, MO 63367
Phone: 636-625-2662    
Thien-an Hoang, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Medical Plz, Ste 101, Lake St Louis, MO 63367
Phone: 636-561-4100    Fax: 636-561-8445

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