Gracie Gum, MOTR/L is a
Occupational Therapist based in New Milton, West Virginia. Gracie Gum is licensed to practice in West Virginia (license number 2385) and her current practice location is
1622 Indian Fork Rd, New Milton, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 871-6568.
NPI number for Gracie Gum is 1710767132 and her current mailing address is 1622 Indian Fork Rd, New Milton, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710767132.
Healthcare Provider's Profile
Full Name | Gracie Gum |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 1622 Indian Fork Rd, New Milton, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710767132
- Provider Enumeration Date: 10/03/2023
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Gracie Gum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710767132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 2385 (West Virginia) | 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. Gracie Gum 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 |
Gracie Gum, MOTR/L 1622 Indian Fork Rd, New Milton, WV 26411-6185 Ph: () - | Gracie Gum, MOTR/L 1622 Indian Fork Rd, New Milton, WV 26411-6185 Ph: (304) 871-6568 |
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