Mckenzie Fruge, is a
Occupational Therapist based in Theodore, Alabama. Mckenzie Fruge is licensed to practice in Alabama (license number OT5221) and her current practice location is
5643 Sermon Rd S, Theodore, Alabama. She can be reached at her office (for appointments etc.) via phone at
(251) 660-1505.
NPI number for Mckenzie Fruge is 1811528706 and her current mailing address is Po Box 40480, Mobile, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811528706.
Healthcare Provider's Profile
| Full Name | Mckenzie Fruge |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 5643 Sermon Rd S, Theodore, Alabama |
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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: 1811528706
- Provider Enumeration Date: 01/29/2020
- Last Update Date: 01/15/2021
Medical Identifiers
Medical identifiers for Mckenzie Fruge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811528706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT5221 (Alabama) | 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. Mckenzie Fruge 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 |
|---|
Mckenzie Fruge,
Po Box 40480,
Mobile, AL 36640-0480
Ph: (251) 434-3626 | Mckenzie Fruge,
5643 Sermon Rd S,
Theodore, AL 36582-3608
Ph: (251) 660-1505 |
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