Lesley Thomas Ellison, is a
Speech-language Pathologist based in Petal, Mississippi. Lesley Thomas Ellison is licensed to practice in Mississippi (license number S3294) and her current practice location is
314 Bryant St, Petal, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 544-0391.
NPI number for Lesley Thomas Ellison is 1912207937 and her current mailing address is 314 Bryant St, Petal, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912207937.
Healthcare Provider's Profile
Full Name | Lesley Thomas Ellison |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 314 Bryant St, Petal, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912207937
- Provider Enumeration Date: 10/25/2010
- Last Update Date: 10/25/2010
Medical Identifiers
Medical identifiers for Lesley Thomas Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912207937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | S3294 (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. Lesley Thomas Ellison 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 |
Lesley Thomas Ellison, 314 Bryant St, Petal, MS 39465-3906 Ph: (601) 544-0391 | Lesley Thomas Ellison, 314 Bryant St, Petal, MS 39465-3906 Ph: (601) 544-0391 |
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