Dr Sallyann Jessie Ganpot, MD is a
Pediatrics physician based in Ruleville, Mississippi. Dr Sallyann Jessie Ganpot is licensed to practice in Mississippi (license number 21136) and her current practice location is 840 N Oak Ave, Ruleville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 756-1788.
NPI number for Dr Sallyann Jessie Ganpot is 1508187162 and her current mailing address is 840 N Oak Ave, Ruleville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508187162.
Physician's Profile
Full Name | Dr Sallyann Jessie Ganpot |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 840 N Oak Ave, Ruleville, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508187162
- Provider Enumeration Date: 06/17/2010
- Last Update Date: 06/16/2016
Medical Identifiers
Medical identifiers for Dr Sallyann Jessie Ganpot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508187162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 21136 (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. Dr Sallyann Jessie Ganpot 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 |
Dr Sallyann Jessie Ganpot, MD 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-1788 | Dr Sallyann Jessie Ganpot, MD 840 N Oak Ave, Ruleville, MS 38771-3227 Ph: (662) 756-1788 |
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