Metamorphosis Rehabilitation is a medicare enrolled "Clinic/center - Hearing And Speech" provider in Jackson, Mississippi. Their current practice location is
5170 Sunnyvale Dr, Jackson, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(909) 570-1198.
Metamorphosis Rehabilitation is licensed to practice in NU (license number ) and it also participates in the medicare program. Metamorphosis Rehabilitation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1295532877.
Healthcare Provider's Profile
| Full Name | Metamorphosis Rehabilitation |
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| Type | Facility |
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| Speciality | Clinic/center - Hearing And Speech |
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| Location | 5170 Sunnyvale Dr, Jackson, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295532877
- Provider Enumeration Date: 02/28/2025
- Last Update Date: 01/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 1355823808
- Enrollment ID: O20260304000572
Medical Identifiers
Medical identifiers for Metamorphosis Rehabilitation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295532877 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (NU) | Secondary |
| 225X00000X | Occupational Therapist | (NU) | Secondary |
| 251E00000X | Home Health | (NU) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (NU) | Primary |
| 261QR0208X | Clinic/center - Radiology, Mobile | (NU) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Metamorphosis Rehabilitation acts as a billing entity for following providers:
| Provider Name | Myna L Burks |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1598968802
PECOS PAC ID: 6204092687
Enrollment ID: I20120730000796 |
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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. Metamorphosis Rehabilitation is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Metamorphosis Rehabilitation
5170 Sunnyvale Dr,
Jackson, MS 39211-4845
Ph: (909) 570-1198 | Metamorphosis Rehabilitation
5170 Sunnyvale Dr,
Jackson, MS 39211-4845
Ph: (909) 570-1198 |
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