Madison Bohannon, is a medicare enrolled "Occupational Therapist" provider in Leakesville, Mississippi. She graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Encore Rehabilitation, Inc and her current practice location is
433 Main St, Leakesville, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 394-4545.
Madison Bohannon is licensed to practice in Mississippi (license number OT4157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457198806.
Healthcare Provider's Profile
| Full Name | Madison Bohannon |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 1 Years |
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| Location | 433 Main St, Leakesville, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Madison Bohannon graduated from medical school in 2024
NPI Data:
- NPI Number: 1457198806
- Provider Enumeration Date: 07/12/2024
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022558782
- Enrollment ID: I20240909001992
Medical Identifiers
Medical identifiers for Madison Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457198806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT4157 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Encore Rehabilitation, Inc | 3577462126 | 164 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Madison Bohannon allows following entities to bill medicare on her behalf.
| Provider Name | Encore Rehabilitation, Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033218524
PECOS PAC ID: 3577462126
Enrollment ID: O20121106000516 |
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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. Madison Bohannon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Madison Bohannon,
42465 Highway 195,
Haleyville, AL 35565-7052
Ph: (256) 350-1764 | Madison Bohannon,
433 Main St,
Leakesville, MS 39451-6502
Ph: (601) 394-4545 |
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