Dionne Marie Graham, MSW, LISW-S, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Delphos, Ohio. Her current practice location is
10100 Elida Rd, Delphos, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 685-8010.
Dionne Marie Graham is licensed to practice in Ohio (license number I.1700656) 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 1518475813.
Healthcare Provider's Profile
| Full Name | Dionne Marie Graham |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 10100 Elida Rd, Delphos, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518475813
- Provider Enumeration Date: 01/21/2018
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193087286
- Enrollment ID: I20180330000665
Medical Identifiers
Medical identifiers for Dionne Marie Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518475813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 081035 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1700656 (Ohio) | 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. Dionne Marie Graham allows following entities to bill medicare on her behalf.
| Entity Name | Pathways Counseling Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134181084
PECOS PAC ID: 0244281574
Enrollment ID: O20050203000864 |
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| Entity Name | Psa 3 Agency On Aging, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104255868
PECOS PAC ID: 4981837507
Enrollment ID: O20140507000086 |
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| Entity Name | Lighthouse Behavioral Health Solutions, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629560230
PECOS PAC ID: 4486089893
Enrollment ID: O20200113001896 |
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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. Dionne Marie 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 |
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Dionne Marie Graham, MSW, LISW-S, LICDC
10100 Elida Rd,
Delphos, OH 45833-9056
Ph: () - | Dionne Marie Graham, MSW, LISW-S, LICDC
10100 Elida Rd,
Delphos, OH 45833-9056
Ph: (419) 685-8010 |
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