Ms Therese R Graham, MS OTRL is a medicare enrolled "Occupational Therapist" provider in Dover, Arkansas. Her current practice location is
55 Virginia Dr, Dover, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 264-6202.
Ms Therese R Graham is licensed to practice in Arkansas (license number OTR1790) 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 1275741530.
Healthcare Provider's Profile
Full Name | Ms Therese R Graham |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 55 Virginia Dr, Dover, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275741530
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 08/24/2007
Medicare PECOS Information:
- PECOS PAC ID: 1052854882
- Enrollment ID: I20240620002564
Medical Identifiers
Medical identifiers for Ms Therese R Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275741530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OTR1790 (Arkansas) | 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. Ms Therese R Graham allows following entities to bill medicare on her behalf.
Provider Name | Synergy Care Southeast Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20230925002498 |
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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. Ms Therese R 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 |
Ms Therese R Graham, MS OTRL 55 Virginia Dr, Dover, AR 72837-8999 Ph: (479) 264-6202 | Ms Therese R Graham, MS OTRL 55 Virginia Dr, Dover, AR 72837-8999 Ph: (479) 264-6202 |
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