Mrs Myisha Gaddy, LPN-RETIRED is a
Prosthetist based in Rex, Georgia. Mrs Myisha Gaddy is licensed to practice in * (Not Available) (license number ) and her current practice location is
6459 Highway 42, Rex, Georgia. She can be reached at her office (for appointments etc.) via phone at
(678) 973-5257.
NPI number for Mrs Myisha Gaddy is 1023776556 and her current mailing address is Po Box 1, Hampton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023776556.
Provider's Profile
| Full Name | Mrs Myisha Gaddy |
|---|
| Gender | Female |
|---|
| Speciality | Prosthetist |
|---|
| Location | 6459 Highway 42, Rex, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023776556
- Provider Enumeration Date: 12/01/2021
- Last Update Date: 12/01/2021
Medical Identifiers
Medical identifiers for Mrs Myisha Gaddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023776556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 83495 (North Carolina) | Secondary |
| 224P00000X | Prosthetist | (* (Not Available)) | 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. Mrs Myisha Gaddy 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 |
|---|
Mrs Myisha Gaddy, LPN-RETIRED
Po Box 1,
Hampton, GA 30228-0001
Ph: () - | Mrs Myisha Gaddy, LPN-RETIRED
6459 Highway 42,
Rex, GA 30273-1718
Ph: (678) 973-5257 |
Reviews and Comments