| Devin Banchero, | |
|
4109 Highway 98 W, Summit, MS 39666-9132 | |
| (601) 276-3909 | |
| Not Available |
| Full Name | Devin Banchero |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4109 Highway 98 W, Summit, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316265168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2409 (Mississippi) | Primary |
| Provider Name | Fox Rehab Agency Ms Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981 |
| Mailing Address | Practice Location Address |
|---|---|
| Devin Banchero, 4109 Highway 98 W, Summit, MS 39666-9132 Ph: () - | Devin Banchero, 4109 Highway 98 W, Summit, MS 39666-9132 Ph: (601) 276-3909 |
Haley Woodward, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 Fax: 601-276-3938 | |
Barbara Ivory, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Hwy 98 West, Summit, MS 39666 Phone: 601-276-3900 | |
Brittany Rushing, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Raquel Ashford, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-764-2131 | |
Christy Cobb, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3909 | |
Myeshia White, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 | |
Kristen Steele, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4109 Highway 98 W, Summit, MS 39666 Phone: 601-276-3900 |