Ms Diane Bailey Gollott, OTR is a
Occupational Therapist based in Warrensville, North Carolina. Ms Diane Bailey Gollott is licensed to practice in North Carolina (license number 4499) and her current practice location is
5778 Nc Hwy 88 West, Warrensville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 384-4500.
NPI number for Ms Diane Bailey Gollott is 1063544419 and her current mailing address is 330 Little Laurel Rd, Creston, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063544419.
Healthcare Provider's Profile
Full Name | Ms Diane Bailey Gollott |
---|
Gender | Female |
---|
Speciality | Occupational Therapist |
---|
Location | 5778 Nc Hwy 88 West, Warrensville, North Carolina |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063544419
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Diane Bailey Gollott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063544419 | NPI | - | NPPES |
7301630 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 4499 (North 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. Ms Diane Bailey Gollott 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 |
Ms Diane Bailey Gollott, OTR 330 Little Laurel Rd, Creston, NC 28615-8923 Ph: (336) 385-2122 | Ms Diane Bailey Gollott, OTR 5778 Nc Hwy 88 West, Warrensville, NC 28693-9209 Ph: (336) 384-4500 |
Reviews and Comments