Heather Celeste Burt Jordan, OTR/L is a
Occupational Therapist based in Raleigh, Mississippi. Heather Celeste Burt Jordan is licensed to practice in Mississippi (license number OT2591) and her current practice location is
309 Magnolia Road, Rolling Acres Retirement, Raleigh, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 206-9195.
NPI number for Heather Celeste Burt Jordan is 1780936740 and her current mailing address is P.o. Box 315, Ridgeland, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780936740.
Healthcare Provider's Profile
| Full Name | Heather Celeste Burt Jordan |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 309 Magnolia Road, Raleigh, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1780936740
- Provider Enumeration Date: 10/15/2012
- Last Update Date: 10/15/2012
Medical Identifiers
Medical identifiers for Heather Celeste Burt Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780936740 | NPI | - | NPPES |
| 09014160 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT2591 (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. Heather Celeste Burt Jordan 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 |
|---|
Heather Celeste Burt Jordan, OTR/L
P.o. Box 315,
Ridgeland, MS 39158
Ph: (601) 206-9195 | Heather Celeste Burt Jordan, OTR/L
309 Magnolia Road, Rolling Acres Retirement,
Raleigh, MS 39153
Ph: (601) 206-9195 |
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