Ebony Graham, MA in Essex, CT - Medicare Counselor Provider

Ebony Graham, MA is a medicare enrolled "Counselor - Professional" provider in Essex, Connecticut. Her current practice location is 190 Westbrook Rd, Essex, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 767-0147.

Ebony Graham is licensed to practice in * (Not Available) (license number ) 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 1750844635.

Contact Information

	Ebony Graham, MA
	190 Westbrook Rd, Essex, CT 06426-1518
	(860) 767-0147
	(860) 767-0148

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony Graham
Gender	Female
Speciality	Counselor - Professional
Location	190 Westbrook Rd, Essex, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750844635
Provider Enumeration Date: 04/09/2019
Last Update Date: 04/09/2019

Medicare PECOS Information:

PECOS PAC ID: 4981044286
Enrollment ID: I20240503001666

Medical Identifiers

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

Identifier	Type	State	Issuer
1750844635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Ebony Graham allows following entities to bill medicare on her behalf.

Entity Name	Clifford W Beers Guidance Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073526968 PECOS PAC ID: 1951771054 Enrollment ID: O20230106000581

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. Ebony 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
Ebony Graham, MA 255 Hempstead St, New London, CT 06320-6204 Ph: (860) 443-2896	Ebony Graham, MA 190 Westbrook Rd, Essex, CT 06426-1518 Ph: (860) 767-0147

Reviews and Comments

Counselor in Essex, CT

Leslie Strekel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 N Main St, Essex, CT 06426 Phone: 860-861-1174
Hanna Jacquelyn Moore, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Ms. Faith B Fuller, LPC Counselor Medicare: Medicare Enrolled Practice Location: 190 Westbrook Rd, Child & Family Agency, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Adam J Russo, MS Counselor Medicare: Medicare Enrolled Practice Location: 251 Essex Plz, Essex, CT 06426 Phone: 860-638-9169 Fax: 860-469-2938
Portia Pendleton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Michele Marsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147 Fax: 860-767-0148
Stacy Mchugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Westbrook Rd, Essex, CT 06426 Phone: 860-767-0147

Ebony Graham, MA - Medicare Counselor in Essex, CT