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Geneva Elizabeth Graham

Social Worker

Behavioral Health & Social Service Providers

2223 I St Apt A, Bellingham, WA 98225-3321

PECOS Enrollment

This provider is enrolled in PECOS as GENEVA GRAHAM.

Based on the most recent information from CMS, provider Geneva Elizabeth Graham is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1427681881
Provider Type
Individual
Full Name
Graham, Geneva Elizabeth
Title
Ms.
Credential
SW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/13/2020
Last Updated
2/13/2020

Contact Information

Practice Location

2223 I St Apt A, Bellingham, WA 98225-3321

(360) 303-4037

Unlisted Fax

Mailing Location

2223 I St Apt A, Bellingham, WA 98225-3321

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 60999784 Washington

Geneva Elizabeth Graham

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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