Amber Cheree Ellis-carpenter, OT - Medicare Occupational Therapist in Southaven, MS

Amber Cheree Ellis-carpenter, OT is a medicare enrolled "Occupational Therapist" provider in Southaven, Mississippi. Her current practice location is 1890 Goodman Rd E Ste 201, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 830-9899.

Amber Cheree Ellis-carpenter is licensed to practice in Mississippi (license number OT2256) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770005795.

Contact Information

Amber Cheree Ellis-carpenter, OT
1890 Goodman Rd E Ste 201,
Southaven, MS 38671-9504
(901) 830-9899
Not Available



Healthcare Provider's Profile

Full NameAmber Cheree Ellis-carpenter
GenderFemale
SpecialityOccupational Therapist
Location1890 Goodman Rd E Ste 201, Southaven, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770005795
  • Provider Enumeration Date: 07/11/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638500051
  • Enrollment ID: I20200518002974

Medical Identifiers

Medical identifiers for Amber Cheree Ellis-carpenter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770005795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT2256 (Mississippi)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Cheree Ellis-carpenter allows following entities to bill medicare on her behalf.
Provider NameHealthpro Heritage Rehab & Fitness Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376073262
PECOS PAC ID: 6507832573
Enrollment ID: O20171003005084

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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. Amber Cheree Ellis-carpenter 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 AddressPractice Location Address
Amber Cheree Ellis-carpenter, OT
1890 Goodman Rd E Ste 201,
Southaven, MS 38671-9504

Ph: (901) 830-9899
Amber Cheree Ellis-carpenter, OT
1890 Goodman Rd E Ste 201,
Southaven, MS 38671-9504

Ph: (901) 830-9899

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Occupational Therapist in Southaven, MS

Megan Altom,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 108 Clarington Dr, Southaven, MS 38671
Phone: 662-349-9043    
Morgan Vanlandingham,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6858 Swinnea Rd Ste B, Southaven, MS 38671
Phone: 662-772-5937    
Shelby Oliver Resendiz, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3964 Goodman Rd E Ste 105, Southaven, MS 38672
Phone: 662-932-4625    
Skylar Marie Russell, MOT/S
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 5791 Deer Ridge Dr, Southaven, MS 38672
Phone: 901-654-9450    
Christina Rae Farris, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 83 Airways Pl, Southaven, MS 38671
Phone: 662-349-8787    Fax: 662-349-8757
Mrs. Stephanie Amber Ledbetter, OTR/L, MOT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671
Phone: 662-349-2733    Fax: 662-536-1849
Sarah Katherine Mills, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 83 Airways Pl, Southaven, MS 38671
Phone: 662-349-8787    Fax: 662-349-8757

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