Mishako M Moore, OT - Occupational Therapist in Poplarville, MS

Mishako M Moore, OT is a Occupational Therapist based in Poplarville, Mississippi. Mishako M Moore is licensed to practice in Mississippi (license number OT-3782) and her current practice location is 9 Balmoral Dr Ste A, Poplarville, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 746-5101.

NPI number for Mishako M Moore is 1528673043 and her current mailing address is Po Box 956, Poplarville, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528673043.

Contact Information

Mishako M Moore, OT
9 Balmoral Dr Ste A,
Poplarville, MS 39470-3344
(601) 746-5101
(601) 746-5102



Healthcare Provider's Profile

Full NameMishako M Moore
GenderFemale
SpecialityOccupational Therapist
Location9 Balmoral Dr Ste A, Poplarville, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528673043
  • Provider Enumeration Date: 09/11/2020
  • Last Update Date: 09/11/2020

Medical Identifiers

Medical identifiers for Mishako M Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528673043NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OT-3782 (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. Mishako M Moore 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 AddressPractice Location Address
Mishako M Moore, OT
Po Box 956,
Poplarville, MS 39470-0956

Ph: (601) 746-5101
Mishako M Moore, OT
9 Balmoral Dr Ste A,
Poplarville, MS 39470-3344

Ph: (601) 746-5101

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Occupational Therapist in Poplarville, MS

Kristian A. Wilson, O.T.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470
Phone: 601-746-5101    Fax: 601-746-5102
Marquita Le'ann Mcintosh, OTD, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1227 S Main St, Poplarville, MS 39470
Phone: 601-746-5101    Fax: 601-746-5102
Ashley Sheppard,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 305 W Moody St, Poplarville, MS 39470
Phone: 601-795-4543    
Ashley Jordan Breland, OT
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470
Phone: 601-746-5101    Fax: 601-746-5101
Whitney S Walker, OT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470
Phone: 601-746-5101    Fax: 601-746-5102
Jessica Cuevas, O.T.
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 9 Balmoral Dr Ste A, Poplarville, MS 39470
Phone: 601-746-5101    Fax: 601-746-5102

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