Breaking Boundaries, Llc is a
Speech-language Pathologist based in Ellisville, Mississippi. Breaking Boundaries, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
471 Highway 590, Ellisville, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 319-4056.
NPI number for Breaking Boundaries, Llc is 1528609278 and their current mailing address is 471 Highway 590, Ellisville, Mississippi. Breaking Boundaries, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528609278.
Healthcare Provider's Profile
Full Name | Breaking Boundaries, Llc |
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Type | Facility |
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Speciality | Speech-language Pathologist |
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Location | 471 Highway 590, Ellisville, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528609278
- Provider Enumeration Date: 10/03/2019
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Breaking Boundaries, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528609278 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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. Breaking Boundaries, Llc 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 |
Breaking Boundaries, Llc 471 Highway 590, Ellisville, MS 39437-8241 Ph: (601) 319-4056 | Breaking Boundaries, Llc 471 Highway 590, Ellisville, MS 39437-8241 Ph: (601) 319-4056 |
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