Lauren A Wallace, DPT | |
950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 | |
(601) 487-6088 | |
Not Available |
Full Name | Lauren A Wallace |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 950 E County Line Rd Ste A, Ridgeland, 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 |
---|---|---|---|
1770175473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT7018 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehab Agency Ms Llc | 2769841782 | 43 |
Provider Name | Fox Rehab Agency Ms Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981 |
Mailing Address | Practice Location Address |
---|---|
Lauren A Wallace, DPT 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 Ph: () - | Lauren A Wallace, DPT 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 Ph: (601) 487-6088 |
Christine Antonia Shadie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Reneda S Watts-anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Arthur Davis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 745 S Pear Orchard Rd, Suite 335, Ridgeland, MS 39157 Phone: 601-573-9974 | |
Joe H Smelser, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Kathryn Collums, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite C, Ridgeland, MS 39157 Phone: 601-308-5117 Fax: 601-308-5103 | |
Shelby Adkins Ladner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Justin Nichols, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 |