| |
1085 Gluckstadt Rd Bldg 500a, Gluckstadt, MS 39110-9425 | |
(601) 645-2739 | |
(601) 895-0093 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 1085 Gluckstadt Rd Bldg 500a, Gluckstadt, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902641145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Kasi C Saucier |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1326561721 PECOS PAC ID: 1153680822 Enrollment ID: I20180126000200 |
Mailing Address | Practice Location Address |
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1085 Gluckstadt Rd Bldg 500a, Gluckstadt, MS 39110-9425 Ph: (601) 645-2739 | 1085 Gluckstadt Rd Bldg 500a, Gluckstadt, MS 39110-9425 Ph: (601) 645-2739 |