Mickala Washington, is a
Speech-language Pathologist based in Pearl, Mississippi. Mickala Washington is licensed to practice in Mississippi (license number S-4690) and her current practice location is
606 Silver Cv, Pearl, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 942-3027.
NPI number for Mickala Washington is 1497402432 and her current mailing address is 606 Silver Cv, Pearl, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497402432.
Healthcare Provider's Profile
| Full Name | Mickala Washington |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 606 Silver Cv, Pearl, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1497402432
- Provider Enumeration Date: 03/09/2022
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Mickala Washington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497402432 | NPI | - | NPPES |
| S-4690 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | S-4690 (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. Mickala Washington 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 |
|---|
Mickala Washington,
606 Silver Cv,
Pearl, MS 39208-5003
Ph: () - | Mickala Washington,
606 Silver Cv,
Pearl, MS 39208-5003
Ph: (601) 942-3027 |
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