Mary Pendergrass, OTR/L is a
Occupational Therapist based in Iva, South Carolina. Mary Pendergrass is licensed to practice in South Carolina (license number 3606) and her current practice location is
406 W Broad St, Iva, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 348-7433.
NPI number for Mary Pendergrass is 1326516667 and her current mailing address is 406 W Broad St, Iva, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326516667.
Healthcare Provider's Profile
Full Name | Mary Pendergrass |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 406 W Broad St, Iva, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326516667
- Provider Enumeration Date: 11/05/2018
- Last Update Date: 11/05/2018
Medical Identifiers
Medical identifiers for Mary Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326516667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 3606 (South Carolina) | 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. Mary Pendergrass 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 |
Mary Pendergrass, OTR/L 406 W Broad St, Iva, SC 29655-9765 Ph: () - | Mary Pendergrass, OTR/L 406 W Broad St, Iva, SC 29655-9765 Ph: (864) 348-7433 |
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