Mrs Kellie Mcbroom, OTR is a
Occupational Therapist based in Commerce, Texas. Mrs Kellie Mcbroom is licensed to practice in Texas (license number 110810) and her current practice location is
2544 Mangum St, Commerce, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 886-7669.
NPI number for Mrs Kellie Mcbroom is 1801804562 and her current mailing address is Po Box 64, Celeste, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801804562.
Healthcare Provider's Profile
| Full Name | Mrs Kellie Mcbroom |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 2544 Mangum St, Commerce, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801804562
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Kellie Mcbroom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801804562 | NPI | - | NPPES |
| 8T3108 | Other | TX | BCBS PROVIDER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 110810 (Texas) | 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. Mrs Kellie Mcbroom 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 |
|---|
Mrs Kellie Mcbroom, OTR
Po Box 64,
Celeste, TX 75423-0064
Ph: (903) 568-8558 | Mrs Kellie Mcbroom, OTR
2544 Mangum St,
Commerce, TX 75428-3515
Ph: (903) 886-7669 |
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