Haley Ezelle, is a
Occupational Therapist based in Dekalb, Mississippi. Haley Ezelle is licensed to practice in Mississippi (license number OT3693) and her current practice location is
220 Willow Ave, Dekalb, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 743-9181.
NPI number for Haley Ezelle is 1467072165 and her current mailing address is 711 Avignon Dr, Ridgeland, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467072165.
Healthcare Provider's Profile
| Full Name | Haley Ezelle |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 220 Willow Ave, Dekalb, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467072165
- Provider Enumeration Date: 04/22/2020
- Last Update Date: 04/22/2020
Medical Identifiers
Medical identifiers for Haley Ezelle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467072165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT3693 (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. Haley Ezelle 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 |
|---|
Haley Ezelle,
711 Avignon Dr,
Ridgeland, MS 39157-5120
Ph: () - | Haley Ezelle,
220 Willow Ave,
Dekalb, MS 39328
Ph: (601) 743-9181 |
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