Creekside Pediatric Therapy Llc is a medicare enrolled "Occupational Therapist" provider in Carriere, Mississippi. Their current practice location is
141 N Hill Dr, Carriere, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 215-3267.
Creekside Pediatric Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Creekside Pediatric Therapy Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1093522807.
Healthcare Provider's Profile
Full Name | Creekside Pediatric Therapy Llc |
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Type | Facility |
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Speciality | Occupational Therapist |
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Location | 141 N Hill Dr, Carriere, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093522807
- Provider Enumeration Date: 12/16/2024
- Last Update Date: 01/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355870361
- Enrollment ID: O20250121001393
Medical Identifiers
Medical identifiers for Creekside Pediatric Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093522807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Creekside Pediatric Therapy Llc acts as a billing entity for following providers:
Provider Name | Heidi Dryden Molaison |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
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Provider Identifiers | NPI Number: 1073145272 PECOS PAC ID: 3577990431 Enrollment ID: I20200305001818 |
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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. Creekside Pediatric Therapy Llc 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 |
Creekside Pediatric Therapy Llc 141 N Hill Dr, Carriere, MS 39426-8129 Ph: (601) 215-3267 | Creekside Pediatric Therapy Llc 141 N Hill Dr, Carriere, MS 39426-8129 Ph: (601) 215-3267 |
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