Emily Cook Gross, | |
130 Parkway Plz, Kosciusko, MS 39090-3217 | |
(662) 289-3588 | |
Not Available |
Full Name | Emily Cook Gross |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 6 Years |
Location | 130 Parkway Plz, Kosciusko, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588209530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3521 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Medical Group Of Mississippi Llc | 8729973623 | 25 |
Provider Name | Premier Medical Group Of Mississippi Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254 |
Mailing Address | Practice Location Address |
---|---|
Emily Cook Gross, 130 Parkway Plz, Kosciusko, MS 39090-3217 Ph: () - | Emily Cook Gross, 130 Parkway Plz, Kosciusko, MS 39090-3217 Ph: (662) 289-3588 |
Sophie Champagne Black, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Sarah Putt, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-3533 | |
Imani Finley, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-739-6162 Fax: 662-739-6163 | |
Mrs. Tanya L Steen, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plaza, Kosciusko, MS 39090 Phone: 662-289-3488 Fax: 662-289-3433 | |
Mylissa Hodges, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090 Phone: 662-289-3499 | |
Imani Community Outreach Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Jefferson St, Kosciusko, MS 39090 Phone: 662-289-7676 | |
Mrs. Dorothy Michele Fulgham, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Parkway Plz, Kosciusko, MS 39090 Phone: 662-289-3588 Fax: 662-289-2486 |