Mrs Candice Mixon, | |
7301 Hennessy Blvd, Suite 101, Baton Rouge, LA 70808-4384 | |
(225) 767-5004 | |
(225) 767-3117 |
Full Name | Mrs Candice Mixon |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 7301 Hennessy Blvd, Baton Rouge, Louisiana |
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 |
---|---|---|---|
1528402013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 06939 (Louisiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Linx Physical Therapy And Wellness | 7214934710 | 3 |
Provider Name | Linx Physical Therapy & Wellness |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710927330 PECOS PAC ID: 7214934710 Enrollment ID: O20061025000688 |
Mailing Address | Practice Location Address |
---|---|
Mrs Candice Mixon, 10030 River Run Estate Dr, Saint Amant, LA 70774-4701 Ph: () - | Mrs Candice Mixon, 7301 Hennessy Blvd, Suite 101, Baton Rouge, LA 70808-4384 Ph: (225) 767-5004 |
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