Marissa Lynnae Maxham, PTA - Physical Medicine & Rehabilitation in Flora, IL

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Marissa Lynnae Maxham, PTA is a Physical Medicine & Rehabilitation - Pain Medicine physician based in Flora, Illinois. Marissa Lynnae Maxham is licensed to practice in Illinois (license number 160008997) and her current practice location is 701 Shadwell Ave, Flora, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 662-8361.

NPI number for Marissa Lynnae Maxham is 1205405859 and her current mailing address is 702 Shadwell Ave, Flora, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205405859.

Contact Information

Marissa Lynnae Maxham, PTA
701 Shadwell Ave,
Flora, IL 62839-2310
(618) 662-8361
Not Available

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Physician's Profile

Full NameMarissa Lynnae Maxham
GenderFemale
SpecialityPhysical Medicine & Rehabilitation - Pain Medicine
Location701 Shadwell Ave, Flora, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205405859
  • Provider Enumeration Date: 06/18/2021
  • Last Update Date: 06/18/2021

Medical Identifiers

Medical identifiers for Marissa Lynnae Maxham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205405859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081H0002XPhysical Medicine & Rehabilitation - Hospice And Palliative Medicine 160.008997 (Illinois)Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine 160008997 (Illinois)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. Marissa Lynnae Maxham 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 AddressPractice Location Address
Marissa Lynnae Maxham, PTA
702 Shadwell Ave,
Flora, IL 62839-2309

Ph: (618) 842-4138		Marissa Lynnae Maxham, PTA
701 Shadwell Ave,
Flora, IL 62839-2310

Ph: (618) 662-8361

Reviews and Comments


Physical Medicine & Rehabilitation Doctors in Flora, IL


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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