Keely Fortenberry, - Occupational Therapist in Prentiss, MS

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Keely Fortenberry, is a Occupational Therapist based in Prentiss, Mississippi. Keely Fortenberry is licensed to practice in Mississippi (license number OT3495) and her current practice location is 1102 Rose St, Prentiss, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 792-1242.

NPI number for Keely Fortenberry is 1336769306 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 1336769306.

Contact Information

Keely Fortenberry,
1102 Rose St,
Prentiss, MS 39474-5200
(601) 792-1242
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKeely Fortenberry
GenderFemale
SpecialityOccupational Therapist
Location1102 Rose St, Prentiss, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336769306
  • Provider Enumeration Date: 04/20/2020
  • Last Update Date: 04/20/2020

Medical Identifiers

Medical identifiers for Keely Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336769306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT3495 (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. Keely Fortenberry 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 AddressPractice Location Address
Keely Fortenberry,
711 Avignon Dr,
Ridgeland, MS 39157-5120

Ph: () -		Keely Fortenberry,
1102 Rose St,
Prentiss, MS 39474-5200

Ph: (601) 792-1242

Reviews and Comments


Occupational Therapist in Prentiss, MS


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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