Sophie Champagne Black, - Occupational Therapist in Kosciusko, MS

Sophie Champagne Black, is a Occupational Therapist based in Kosciusko, Mississippi. Sophie Champagne Black is licensed to practice in Mississippi (license number OT0533) and her current practice location is 310 Autumn Ridge Dr, Kosciusko, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 289-3499.

NPI number for Sophie Champagne Black is 1093920522 and her current mailing address is 4109 Highway 98 W, Summit, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093920522.

Contact Information

Sophie Champagne Black,
310 Autumn Ridge Dr,
Kosciusko, MS 39090-3242
(662) 289-3499
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSophie Champagne Black
GenderFemale
SpecialityOccupational Therapist
Location310 Autumn Ridge Dr, Kosciusko, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093920522
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 12/29/2009

Medical Identifiers

Medical identifiers for Sophie Champagne Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093920522NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT0533 (Mississippi)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. Sophie Champagne Black 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 AddressPractice Location Address
Sophie Champagne Black,
4109 Highway 98 W,
Summit, MS 39666-9132

Ph: (601) 276-3900
Sophie Champagne Black,
310 Autumn Ridge Dr,
Kosciusko, MS 39090-3242

Ph: (662) 289-3499

Reviews and Comments


Occupational Therapist in Kosciusko, MS

Sarah Putt, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 130 Parkway Plz, Kosciusko, MS 39090
Phone: 662-289-3588    Fax: 662-289-3533
Mrs. Tanya L Steen, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 130 Parkway Plaza, Kosciusko, MS 39090
Phone: 662-289-3488    Fax: 662-289-3433
Mylissa Hodges,
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 310 Autumn Ridge Dr, Kosciusko, MS 39090
Phone: 662-289-3499    
Imani Community Outreach Center
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Jefferson St, Kosciusko, MS 39090
Phone: 662-289-7676    
Mrs. Dorothy Michele Fulgham, O.T.
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 130 Parkway Plz, Kosciusko, MS 39090
Phone: 662-289-3588    Fax: 662-289-2486
Emily Cook Gross,
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 130 Parkway Plz, Kosciusko, MS 39090
Phone: 662-289-3588    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.