Ms Ty Graham, is a
Non-emergency Medical Transport (van) based in Canal Winchester, Ohio. Ms Ty Graham is licensed to practice in * (Not Available) (license number ) and her current practice location is
3524 Heath Trce, Canal Winchester, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 371-3740.
NPI number for Ms Ty Graham is 1619776903 and her current mailing address is 3524 Heath Trce, Canal Winchester, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619776903.
Provider's Profile
| Full Name | Ms Ty Graham |
|---|
| Gender | Female |
|---|
| Speciality | Non-emergency Medical Transport (van) |
|---|
| Location | 3524 Heath Trce, Canal Winchester, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619776903
- Provider Enumeration Date: 03/10/2025
- Last Update Date: 08/12/2025
Medical Identifiers
Medical identifiers for Ms Ty Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619776903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | LPN.155456.MEDS (Ohio) | Secondary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (* (Not Available)) | Primary |
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 Ty 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 |
|---|
Ms Ty Graham,
3524 Heath Trce,
Canal Winchester, OH 43110-7706
Ph: (614) 398-0264 | Ms Ty Graham,
3524 Heath Trce,
Canal Winchester, OH 43110-7706
Ph: (419) 371-3740 |
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