Madison Bohannon, is a
Occupational Therapist based in Leakesville, Mississippi. Madison Bohannon is licensed to practice in Mississippi (license number OT4157) and her current practice location is
433 Main St, Leakesville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 394-4545.
NPI number for Madison Bohannon is 1457198806 and her current mailing address is 42465 Highway 195, Haleyville, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457198806.
Healthcare Provider's Profile
| Full Name | Madison Bohannon |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 433 Main St, Leakesville, 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: 1457198806
- Provider Enumeration Date: 07/12/2024
- Last Update Date: 07/12/2024
Medical Identifiers
Medical identifiers for Madison Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457198806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT4157 (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. Madison Bohannon 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 |
|---|
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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