Shevonba Monique Graham, FNP in Bronx, NY - Medicare Nurse Practitioner

Shevonba Monique Graham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. Her current practice location is 3777 Willett Ave Apt 3, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (347) 331-1914.

Shevonba Monique Graham is licensed to practice in New York (license number F344362) 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 1801451992.

Contact Information

	Shevonba Monique Graham, FNP
	3777 Willett Ave Apt 3, Bronx, NY 10467-5519
	(347) 331-1914
	Not Available

Map and Direction

Provider's Profile

Full Name	Shevonba Monique Graham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3777 Willett Ave Apt 3, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801451992
Provider Enumeration Date: 05/05/2019
Last Update Date: 05/05/2019

Medicare PECOS Information:

PECOS PAC ID: 5092109124
Enrollment ID: I20220305000041

Medical Identifiers

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

Identifier	Type	State	Issuer
1801451992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F344362 (New York)	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. Shevonba Monique Graham allows following entities to bill medicare on her behalf.

Entity Name	Essen Medical Urgicare, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903

Entity Name	Molina Healthcare Of New York Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134622970 PECOS PAC ID: 8628468337 Enrollment ID: O20211210001127

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. Shevonba Monique 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
Shevonba Monique Graham, FNP 3777 Willett Ave Apt 3, Bronx, NY 10467-5519 Ph: (347) 331-1914	Shevonba Monique Graham, FNP 3777 Willett Ave Apt 3, Bronx, NY 10467-5519 Ph: (347) 331-1914

Reviews and Comments

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Shevonba Monique Graham, FNP - Medicare Nurse Practitioner in Bronx, NY