Magnolia Occupational & Physical Therapy is a medicare enrolled "Occupational Therapist" provider in Gautier, Mississippi. Their current practice location is
2525 Highway 90 Ste 11, Gautier, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(228) 313-5305.
Magnolia Occupational & Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Magnolia Occupational & Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1902476625.
Healthcare Provider's Profile
| Full Name | Magnolia Occupational & Physical Therapy |
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| Type | Facility |
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| Speciality | Occupational Therapist |
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| Location | 2525 Highway 90 Ste 11, Gautier, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902476625
- Provider Enumeration Date: 06/25/2021
- Last Update Date: 01/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002210044
- Enrollment ID: O20210812001425
Medical Identifiers
Medical identifiers for Magnolia Occupational & Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902476625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Magnolia Occupational & Physical Therapy acts as a billing entity for following providers:
| Provider Name | Frances Palazzolo |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1447786363
PECOS PAC ID: 7810391851
Enrollment ID: I20210901003238 |
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| Provider Name | Hannah Lanelle Warren |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1205500774
PECOS PAC ID: 2163814187
Enrollment ID: I20220124001858 |
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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. Magnolia Occupational & Physical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Magnolia Occupational & Physical Therapy
2525 Highway 90 Ste 11,
Gautier, MS 39553-5247
Ph: (228) 417-5205 | Magnolia Occupational & Physical Therapy
2525 Highway 90 Ste 11,
Gautier, MS 39553-5247
Ph: (228) 313-5305 |
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