Myranda Lancaster, is a
Occupational Therapist based in Water Valley, Mississippi. Myranda Lancaster is licensed to practice in Mississippi (license number OT3702) and her current practice location is
630 S Main St, Water Valley, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 473-5947.
NPI number for Myranda Lancaster is 1639727134 and her current mailing address is 711 Avignon Dr, Ridgeland, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639727134.
Healthcare Provider's Profile
| Full Name | Myranda Lancaster |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 630 S Main St, Water Valley, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639727134
- Provider Enumeration Date: 08/28/2019
- Last Update Date: 08/28/2019
Medical Identifiers
Medical identifiers for Myranda Lancaster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639727134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | OT3702 (Mississippi) | 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. Myranda Lancaster 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 |
|---|
Myranda Lancaster,
711 Avignon Dr,
Ridgeland, MS 39157-5120
Ph: (601) 605-6777 | Myranda Lancaster,
630 S Main St,
Water Valley, MS 38965-3468
Ph: (662) 473-5947 |
Reviews and Comments