Laicon Partain, | |
1151 Highway 35 S, Forest, MS 39074-8829 | |
(601) 469-2732 | |
Not Available |
Full Name | Laicon Partain |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1151 Highway 35 S, Forest, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982484556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 7544 (Mississippi) | Primary |
Provider Name | 2083 Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134638307 PECOS PAC ID: 4082976246 Enrollment ID: O20180328000512 |
Mailing Address | Practice Location Address |
---|---|
Laicon Partain, Po Box D, Forest, MS 39074-0558 Ph: (601) 469-4151 | Laicon Partain, 1151 Highway 35 S, Forest, MS 39074-8829 Ph: (601) 469-2732 |
Cathy G Cooper, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 West 3rd Street, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Alexandria M Furdge, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 339 W Third St, Forest, MS 39074 Phone: 601-287-8007 Fax: 601-287-8038 | |
Leanne Earls Pounders, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Sarah A Parker, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Christopher Butler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1129 Highway 35 S Ste 2, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Jessica Gail Martin, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 W Third St, Forest, MS 39074 Phone: 601-469-1001 Fax: 601-469-1009 | |
Justin Laster, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1129 Ms-35 #2, Forest, MS 39074 Phone: 601-469-1001 |