Mrs Lacey Sanborn Dunlap, OTR/L in Southaven, MS - Medicare Occupational Therapist Provider

Mrs Lacey Sanborn Dunlap, OTR/L is a medicare enrolled "Occupational Therapist" provider in Southaven, Mississippi. Her current practice location is 83 Airways Pl, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 349-8787.

Mrs Lacey Sanborn Dunlap is licensed to practice in Mississippi (license number OT2267) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437416534.

Contact Information

	Mrs Lacey Sanborn Dunlap, OTR/L
	83 Airways Pl, Southaven, MS 38671-5885
	(662) 349-8787
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Lacey Sanborn Dunlap
Gender	Female
Speciality	Occupational Therapist
Location	83 Airways Pl, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437416534
Provider Enumeration Date: 04/13/2012
Last Update Date: 04/13/2012

Medicare PECOS Information:

PECOS PAC ID: 3375987290
Enrollment ID: I20240220001000

Medical Identifiers

Medical identifiers for Mrs Lacey Sanborn Dunlap such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437416534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2267 (Mississippi)	Primary

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. Mrs Lacey Sanborn Dunlap allows following entities to bill medicare on her behalf.

Provider Name	Tri-vista Rehab, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982799516 PECOS PAC ID: 0345390308 Enrollment ID: O20200930000089

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. Mrs Lacey Sanborn Dunlap 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
Mrs Lacey Sanborn Dunlap, OTR/L 3460 Pendulum Dr E, Hernando, MS 38632-8395 Ph: (662) 803-6328	Mrs Lacey Sanborn Dunlap, OTR/L 83 Airways Pl, Southaven, MS 38671-5885 Ph: (662) 349-8787

Reviews and Comments

Occupational Therapist in Southaven, MS

Megan Altom, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Clarington Dr, Southaven, MS 38671 Phone: 662-349-9043
Morgan Vanlandingham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6858 Swinnea Rd Ste B, Southaven, MS 38671 Phone: 662-772-5937
Shelby Oliver Resendiz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman Rd E Ste 105, Southaven, MS 38672 Phone: 662-932-4625
Christina Rae Farris, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 83 Airways Pl, Southaven, MS 38671 Phone: 662-349-8787 Fax: 662-349-8757
Mrs. Stephanie Amber Ledbetter, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-349-2733 Fax: 662-536-1849
Sarah Katherine Mills, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 83 Airways Pl, Southaven, MS 38671 Phone: 662-349-8787 Fax: 662-349-8757
Southern Hand Centers Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5699 Getwell Rd, Bldg E, Sutie 4, Southaven, MS 38672 Phone: 662-536-4695 Fax: 662-536-4696

Mrs Lacey Sanborn Dunlap, OTR/L - Medicare Occupational Therapist in Southaven, MS