Ms Caroline Gordy Fountain, PHYSICAL THERAPIST is a
Physical Therapist based in Raymond, Mississippi. Ms Caroline Gordy Fountain is licensed to practice in Mississippi (license number PT7134) and her current practice location is
13010 Hwy 18, Raymond, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 857-2229.
NPI number for Ms Caroline Gordy Fountain is 1043987647 and her current mailing address is 921 West Beacon Street, Philadelphia, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043987647.
Healthcare Provider's Profile
Full Name | Ms Caroline Gordy Fountain |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 13010 Hwy 18, Raymond, Mississippi |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043987647
- Provider Enumeration Date: 08/23/2021
- Last Update Date: 10/30/2023
Medical Identifiers
Medical identifiers for Ms Caroline Gordy Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043987647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT7134 (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. Ms Caroline Gordy Fountain 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 |
Ms Caroline Gordy Fountain, PHYSICAL THERAPIST 921 West Beacon Street, Philadelphia, MS 39350 Ph: (601) 650-0002 | Ms Caroline Gordy Fountain, PHYSICAL THERAPIST 13010 Hwy 18, Raymond, MS 39154-9526 Ph: (601) 857-2229 |
Reviews and Comments