Shannon Graham, QMHS, CMS is a
Case Manager/care Coordinator based in Logan, Ohio. Shannon Graham is licensed to practice in * (Not Available) (license number QMHS) and his current practice location is
12896 Grey St, Logan, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 592-6724.
NPI number for Shannon Graham is 1215799564 and his current mailing address is 224 Columbus Rd, Athens, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215799564.
Healthcare Provider's Profile
| Full Name | Shannon Graham |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 12896 Grey St, Logan, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215799564
- Provider Enumeration Date: 01/23/2024
- Last Update Date: 07/08/2026
Medical Identifiers
Medical identifiers for Shannon Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215799564 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | QMHS (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | CMS (* (Not Available)) | Secondary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shannon Graham, QMHS, CMS 224 Columbus Rd, Athens, OH 45701-1334 Ph: (740) 592-6724 | Shannon Graham, QMHS, CMS 12896 Grey St, Logan, OH 43138-9638 Ph: (740) 592-6724 |
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