Mrs Diyong S Graham, CRNP in Bala Cynwyd, PA - Medicare Nurse Practitioner

Mrs Diyong S Graham, CRNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Bala Cynwyd, Pennsylvania. Her current practice location is 150 Monument Rd Ste 600, Bala Cynwyd, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 753-1271.

Mrs Diyong S Graham is licensed to practice in Pennsylvania (license number SP022699) 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 1144820622.

Contact Information

	Mrs Diyong S Graham, CRNP
	150 Monument Rd Ste 600, Bala Cynwyd, PA 19004-1701
	(610) 753-1271
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Diyong S Graham
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	150 Monument Rd Ste 600, Bala Cynwyd, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144820622
Provider Enumeration Date: 10/26/2020
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1355723255
Enrollment ID: I20220808003426

Medical Identifiers

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

Identifier	Type	State	Issuer
1144820622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	SP022699 (Pennsylvania)	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 Diyong S Graham allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

Entity Name	City Of Philadelphia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942317094 PECOS PAC ID: 6305758723 Enrollment ID: O20040220000911

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 Diyong S 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 Diyong S Graham, CRNP 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004-1701 Ph: (610) 620-4978	Mrs Diyong S Graham, CRNP 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004-1701 Ph: (610) 753-1271

Reviews and Comments

Nurse Practitioner Nurses in Bala Cynwyd, PA

Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481
Katharine Grace Burke, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd, Bala Cynwyd, PA 19004 Phone: 610-747-3400
Sandra Adams Ohaire, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd, Suite 300, Bala Cynwyd, PA 19004 Phone: 610-617-2400

Mrs Diyong S Graham, CRNP - Medicare Nurse Practitioner in Bala Cynwyd, PA