Carissa Throckmorton, is a
Speech-language Pathologist based in Fork, South Carolina. Carissa Throckmorton is licensed to practice in * (Not Available) (license number ) and her current practice location is
1727 Buck Swamp Rd, Fork, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 464-6212.
NPI number for Carissa Throckmorton is 1639604283 and her current mailing address is 1727 Buck Swamp Rd, Fork, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639604283.
Healthcare Provider's Profile
Full Name | Carissa Throckmorton |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1727 Buck Swamp Rd, Fork, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639604283
- Provider Enumeration Date: 04/20/2017
- Last Update Date: 04/20/2017
Medical Identifiers
Medical identifiers for Carissa Throckmorton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639604283 | 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. Carissa Throckmorton 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 |
Carissa Throckmorton, 1727 Buck Swamp Rd, Fork, SC 29543-6116 Ph: (843) 464-6212 | Carissa Throckmorton, 1727 Buck Swamp Rd, Fork, SC 29543-6116 Ph: (843) 464-6212 |
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