Mr Carlos Mikkel Wynn, OTR/L in Lawrenceville, GA

Mr Carlos Mikkel Wynn, OTR/L is a Occupational Therapist based in Lawrenceville, Georgia. Mr Carlos Mikkel Wynn is licensed to practice in Georgia (license number OT006330) and his current practice location is 545 Old Norcross Rd, Suite 100, Lawrenceville, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 377-2833.

NPI number for Mr Carlos Mikkel Wynn is 1124485602 and his current mailing address is 1550 Cornell Ct, Statham, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124485602.

Contact Information

	Mr Carlos Mikkel Wynn, OTR/L
	545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389
	(678) 377-2833
	(678) 377-2882

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Carlos Mikkel Wynn
Gender	Male
Speciality	Occupational Therapist
Location	545 Old Norcross Rd, Lawrenceville, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1124485602
Provider Enumeration Date: 01/28/2016
Last Update Date: 01/28/2016

Medical Identifiers

Medical identifiers for Mr Carlos Mikkel Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124485602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT006330 (Georgia)	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. Mr Carlos Mikkel Wynn 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
Mr Carlos Mikkel Wynn, OTR/L 1550 Cornell Ct, Statham, GA 30666-2046 Ph: (706) 817-1663	Mr Carlos Mikkel Wynn, OTR/L 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046-3389 Ph: (678) 377-2833

Reviews and Comments

Occupational Therapist in Lawrenceville, GA

Anna Wicks, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833
Anna Kate Mccormick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd Ste 100, Lawrenceville, GA 30046 Phone: 678-377-2833
Ms. Alexis Shakeena Zimmerman, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1130 Hurricane Shoals Rd Ne Ste 2300, Lawrenceville, GA 30043 Phone: 470-323-6711
Kamille Rodriguez-olivo, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882
Jennifer Lynn Drake, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833
Janet Tackett, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Old Norcross Rd, Suite 100, Lawrenceville, GA 30046 Phone: 678-377-2833 Fax: 678-377-2882
Sarah Pirie Word, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Bldg 100-160, Lawrenceville, GA 30046 Phone: 678-985-0238 Fax: 678-985-0136

Mr Carlos Mikkel Wynn, OTR/L - Occupational Therapist in Lawrenceville, GA