Amber Cheree Ellis-carpenter, OT in Southaven, MS - Medicare Occupational Therapist Provider

Amber Cheree Ellis-carpenter, OT is a medicare enrolled "Occupational Therapist" provider in Southaven, Mississippi. Her current practice location is 1890 Goodman Rd E Ste 201, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 830-9899.

Amber Cheree Ellis-carpenter is licensed to practice in Mississippi (license number OT2256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770005795.

Contact Information

	Amber Cheree Ellis-carpenter, OT
	1890 Goodman Rd E Ste 201, Southaven, MS 38671-9504
	(901) 830-9899
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Cheree Ellis-carpenter
Gender	Female
Speciality	Occupational Therapist
Location	1890 Goodman Rd E Ste 201, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770005795
Provider Enumeration Date: 07/11/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9638500051
Enrollment ID: I20200518002974

Medical Identifiers

Medical identifiers for Amber Cheree Ellis-carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770005795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2256 (Mississippi)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Cheree Ellis-carpenter allows following entities to bill medicare on her behalf.

Provider Name	Healthpro Heritage Rehab & Fitness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376073262 PECOS PAC ID: 6507832573 Enrollment ID: O20171003005084

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. Amber Cheree Ellis-carpenter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Amber Cheree Ellis-carpenter, OT 1890 Goodman Rd E Ste 201, Southaven, MS 38671-9504 Ph: (901) 830-9899	Amber Cheree Ellis-carpenter, OT 1890 Goodman Rd E Ste 201, Southaven, MS 38671-9504 Ph: (901) 830-9899

Reviews and Comments

Occupational Therapist in Southaven, MS

Megan Altom, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Clarington Dr, Southaven, MS 38671 Phone: 662-349-9043
Morgan Vanlandingham, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6858 Swinnea Rd Ste B, Southaven, MS 38671 Phone: 662-772-5937
Shelby Oliver Resendiz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3964 Goodman Rd E Ste 105, Southaven, MS 38672 Phone: 662-932-4625
Skylar Marie Russell, MOT/S Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5791 Deer Ridge Dr, Southaven, MS 38672 Phone: 901-654-9450
Christina Rae Farris, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 83 Airways Pl, Southaven, MS 38671 Phone: 662-349-8787 Fax: 662-349-8757
Mrs. Stephanie Amber Ledbetter, OTR/L, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-349-2733 Fax: 662-536-1849
Sarah Katherine Mills, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 83 Airways Pl, Southaven, MS 38671 Phone: 662-349-8787 Fax: 662-349-8757

Amber Cheree Ellis-carpenter, OT - Medicare Occupational Therapist in Southaven, MS