Shannon Graham, in Englewood, OH - Medicare Nurse Practitioner

Shannon Graham, is a medicare enrolled "Nurse Practitioner - Family" in Englewood, Ohio. Her current practice location is 885 Union Blvd, Englewood, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 832-4091.

Shannon Graham is licensed to practice in Ohio (license number APRN.CNP.0033802) 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 1376328583.

Contact Information

	Shannon Graham,
	885 Union Blvd, Englewood, OH 45322-2102
	(937) 832-4091
	Not Available

Map and Direction

Provider's Profile

Full Name	Shannon Graham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	885 Union Blvd, Englewood, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376328583
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4688022288
Enrollment ID: I20231120003210

Medical Identifiers

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

Identifier	Type	State	Issuer
1376328583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0033802 (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. Shannon Graham allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

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. Shannon 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
Shannon Graham, 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () -	Shannon Graham, 885 Union Blvd, Englewood, OH 45322-2102 Ph: (937) 832-4091

Reviews and Comments

Nurse Practitioner Nurses in Englewood, OH

Ms. Krista A Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1250 W National Rd Ste 400, Englewood, OH 45315 Phone: 937-836-6000 Fax: 937-832-4805
Ashley Nicole Mowen, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Westrock Farm Dr, Englewood, OH 45322 Phone: 937-307-3705
Amy Renee Letts, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Suite 305, Englewood, OH 45415 Phone: 937-836-5542 Fax: 937-836-4152
Stacey Michelle Mcroberts, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-991-3188
Emily Ann Allen, MSN, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 N Main St, Englewood, OH 45415 Phone: 937-541-3563
Rose Manka Amin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 Packingham Dr, Englewood, OH 45322 Phone: 937-367-5957
Nicole Ann Gross, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 W Wenger Rd, Englewood, OH 45322 Phone: 937-620-7017

Shannon Graham, - Medicare Nurse Practitioner in Englewood, OH