Cassandra Alexis Deforrest, ATC, LAT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Brandon, Mississippi. Cassandra Alexis Deforrest is licensed to practice in Mississippi (license number AT0843) and her current practice location is 2015 Highpointe Dr, Brandon, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 724-7310.
NPI number for Cassandra Alexis Deforrest is 1285142935 and her current mailing address is 861 Westerly Dr, Brandon, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285142935.
Physician's Profile
Full Name | Cassandra Alexis Deforrest |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 2015 Highpointe Dr, Brandon, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285142935
- Provider Enumeration Date: 01/16/2018
- Last Update Date: 01/16/2018
Medical Identifiers
Medical identifiers for Cassandra Alexis Deforrest such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285142935 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT0843 (Mississippi) | 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. Cassandra Alexis Deforrest 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 |
Cassandra Alexis Deforrest, ATC, LAT 861 Westerly Dr, Brandon, MS 39042-9579 Ph: (601) 383-4817 | Cassandra Alexis Deforrest, ATC, LAT 2015 Highpointe Dr, Brandon, MS 39042-3169 Ph: (601) 724-7310 |
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