Ms Tyeasha Graham, LPN is a
Non-emergency Medical Transport (van) based in Canal Winchester, Ohio. Ms Tyeasha Graham is licensed to practice in * (Not Available) (license number ) and her current practice location is
7476 Willow Leaf Dr, Canal Winchester, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 371-3740.
NPI number for Ms Tyeasha Graham is 1619776903 and her current mailing address is 7476 Willow Leaf Dr, 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 Tyeasha Graham |
|---|
| Gender | Female |
|---|
| Speciality | Non-emergency Medical Transport (van) |
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| Location | 7476 Willow Leaf Dr, 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: 03/10/2025
Medical Identifiers
Medical identifiers for Ms Tyeasha 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 Tyeasha 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 Tyeasha Graham, LPN
7476 Willow Leaf Dr,
Canal Winchester, OH 43110-7574
Ph: (419) 371-3740 | Ms Tyeasha Graham, LPN
7476 Willow Leaf Dr,
Canal Winchester, OH 43110-7574
Ph: (419) 371-3740 |
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