Mississippi Band Of Choctaw Indians is a
Optometrist based in Choctaw, Mississippi. Mississippi Band Of Choctaw Indians is licensed to practice in Mississippi (license number ) and their current practice location is
210 Hospital Cir, Choctaw, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 656-2211.
NPI number for Mississippi Band Of Choctaw Indians is 1114240421 and their current mailing address is 210 Hospital Cir, Choctaw, Mississippi. Mississippi Band Of Choctaw Indians
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1114240421.
Healthcare Provider's Profile
| Full Name | Mississippi Band Of Choctaw Indians |
|---|
| Type | Facility |
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| Speciality | Optometrist |
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| Location | 210 Hospital Cir, Choctaw, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114240421
- Provider Enumeration Date: 03/02/2010
- Last Update Date: 06/15/2012
Medical Identifiers
Medical identifiers for Mississippi Band Of Choctaw Indians such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114240421 | NPI | - | NPPES |
| 09014324 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (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. Mississippi Band Of Choctaw Indians 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 |
|---|
Mississippi Band Of Choctaw Indians
210 Hospital Cir,
Choctaw, MS 39350-6781
Ph: (601) 656-2211 | Mississippi Band Of Choctaw Indians
210 Hospital Cir,
Choctaw, MS 39350-6781
Ph: (601) 656-2211 |
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