Mr Douglas Lincoln Lilly, OTR/L - Occupational Therapist in Fayetteville, WV

Mr Douglas Lincoln Lilly, OTR/L is a Occupational Therapist based in Fayetteville, West Virginia. Mr Douglas Lincoln Lilly is licensed to practice in West Virginia (license number 895) and his current practice location is 111 Fayette Ave, Fayetteville, West Virginia. He can be reached at his office (for appointments etc.) via phone at (304) 574-1176.

NPI number for Mr Douglas Lincoln Lilly is 1790963007 and his current mailing address is 111 Fayette Ave, Fayetteville, West Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790963007.

Contact Information

Mr Douglas Lincoln Lilly, OTR/L
111 Fayette Ave,
Fayetteville, WV 25840-1219
(304) 574-1176
(304) 574-4109



Healthcare Provider's Profile

Full NameMr Douglas Lincoln Lilly
GenderMale
SpecialityOccupational Therapist
Location111 Fayette Ave, Fayetteville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790963007
  • Provider Enumeration Date: 02/08/2008
  • Last Update Date: 02/08/2008

Medical Identifiers

Medical identifiers for Mr Douglas Lincoln Lilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790963007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 895 (West Virginia)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. Mr Douglas Lincoln Lilly 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
Mr Douglas Lincoln Lilly, OTR/L
111 Fayette Ave,
Fayetteville, WV 25840-1219

Ph: (304) 574-1176
Mr Douglas Lincoln Lilly, OTR/L
111 Fayette Ave,
Fayetteville, WV 25840-1219

Ph: (304) 574-1176

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› Verified 6 days ago


Occupational Therapist in Fayetteville, WV

Andrea Michele Logwood, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Fayette Avenue, Fayetteville, WV 25840
Phone: 304-222-1421    
Mrs. Brooke Sapp, MS OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 111 Fayette Ave, Fayetteville, WV 25840
Phone: 304-574-1176    

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