Mrs Lisa Bass Hodges, OT | |
6250 Old Canton Rd Ste 130, Jackson, MS 39211-2946 | |
(601) 956-7280 | |
(601) 977-6244 |
Full Name | Mrs Lisa Bass Hodges |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 33 Years |
Location | 6250 Old Canton Rd Ste 130, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851696561 | NPI | - | NPPES |
00576267 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT0196 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Of Central Mississippi Inc | 1153216411 | 236 |
Provider Name | Medical Foundation Of Central Mississippi Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Bass Hodges, OT 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Mrs Lisa Bass Hodges, OT 6250 Old Canton Rd Ste 130, Jackson, MS 39211-2946 Ph: (601) 956-7280 |
Barbara A Wiggins, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Suite 110 Trinity Rehab, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Dayna Michelle Lombas, LOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13 Northtown Dr, Trinity Rehab Suite 110, Jackson, MS 39211 Phone: 601-206-9195 Fax: 601-957-8391 | |
Jamie M Austin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 I 55 N, Suite 291, Highland Village, Jackson, MS 39211 Phone: 601-362-0859 | |
Mrs. Sallie Gardner Metcalf, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St Ste 210, Jackson, MS 39202 Phone: 662-242-0377 | |
Niesha Lasha Gilmore, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 519 Scott St, Jackson, MS 39203 Phone: 601-951-7458 | |
Dr. Cozetta Marie Mcmillian, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Meadow Ln, Jackson, MS 39212 Phone: 601-209-6453 | |
Autumn B Tamor, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1417 Lelia Dr, Jackson, MS 39216 Phone: 601-551-5612 |