Addie Grace Fetcko, is a
Speech-language Pathologist based in Macon, Mississippi. Addie Grace Fetcko is licensed to practice in Mississippi (license number S-5356) and her current practice location is
78 Hospital Rd, Macon, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 726-4231.
NPI number for Addie Grace Fetcko is 1972461184 and her current mailing address is 78 Hospital Rd, Macon, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972461184.
Healthcare Provider's Profile
| Full Name | Addie Grace Fetcko |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 78 Hospital Rd, Macon, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972461184
- Provider Enumeration Date: 01/14/2026
- Last Update Date: 01/14/2026
Medical Identifiers
Medical identifiers for Addie Grace Fetcko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972461184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | S-5356 (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. Addie Grace Fetcko 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 |
Addie Grace Fetcko, 78 Hospital Rd, Macon, MS 39341-2490 Ph: (662) 726-4231 | Addie Grace Fetcko, 78 Hospital Rd, Macon, MS 39341-2490 Ph: (662) 726-4231 |
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