| Subrat Mishra, OTR | |
|
133 Forest Meadow Dr, Poplar Bluff, MO 63901-2092 | |
| (573) 778-3382 | |
| (573) 778-3382 |
| Full Name | Subrat Mishra |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 133 Forest Meadow Dr, Poplar Bluff, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184770984 | NPI | - | NPPES |
| 475940508 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 003419 (Missouri) | Primary |
| Provider Name | Tinsley Home Medical Services LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003406539 PECOS PAC ID: 6608275334 Enrollment ID: O20210528000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Subrat Mishra, OTR 133 Forest Meadow Dr, Poplar Bluff, MO 63901-2092 Ph: (573) 778-3382 | Subrat Mishra, OTR 133 Forest Meadow Dr, Poplar Bluff, MO 63901-2092 Ph: (573) 778-3382 |
Staci Blankenship, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4358 Hwy Pp, Poplar Bluff, MO 63901 Phone: 573-686-5439 Fax: 573-778-0103 |
Rebekah Buchanan, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 286 Berkshire Dr, Poplar Bluff, MO 63901 Phone: 573-714-8673 |
Danielle Nichole Farmer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000 |
Emilda Lily Pinto, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2981 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-712-2280 Fax: 573-778-9589 |
Jerri Ann Williams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2725 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-9348 Fax: 573-686-4870 |
Mrs. Marissa Kimberly Cohen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3390 Kanell Blvd, Poplar Bluff, MO 63901 Phone: 573-686-5439 Fax: 573-472-0409 |
Ms. Britney Deshay Downs, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2702 Debbie Ln, Poplar Bluff, MO 63901 Phone: 573-686-5242 |