Mrs Ellisann Claire Mcinnis Freeman, OTR/L in Brookhaven, MS - Occupational Therapist

Mrs Ellisann Claire Mcinnis Freeman, OTR/L is a Occupational Therapist based in Brookhaven, Mississippi. Mrs Ellisann Claire Mcinnis Freeman is licensed to practice in Mississippi (license number OT3553) and her current practice location is 519 Brookman Dr, Brookhaven, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 833-2881.

NPI number for Mrs Ellisann Claire Mcinnis Freeman is 1699251512 and her current mailing address is 712 Pennsylvania Ave, Mccomb, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699251512.

Contact Information

	Mrs Ellisann Claire Mcinnis Freeman, OTR/L
	519 Brookman Dr, Brookhaven, MS 39601-2326
	(601) 833-2881
	Not Available

Healthcare Provider's Profile

Full Name	Mrs Ellisann Claire Mcinnis Freeman
Gender	Female
Speciality	Occupational Therapist
Location	519 Brookman Dr, Brookhaven, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1699251512
Provider Enumeration Date: 07/13/2018
Last Update Date: 07/13/2018

Medical Identifiers

Medical identifiers for Mrs Ellisann Claire Mcinnis Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699251512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT3553 (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. Mrs Ellisann Claire Mcinnis Freeman 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
Mrs Ellisann Claire Mcinnis Freeman, OTR/L 712 Pennsylvania Ave, Mccomb, MS 39648-4743 Ph: (601) 551-6453	Mrs Ellisann Claire Mcinnis Freeman, OTR/L 519 Brookman Dr, Brookhaven, MS 39601-2326 Ph: (601) 833-2881

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Mrs Ellisann Claire Mcinnis Freeman, OTR/L - Occupational Therapist in Brookhaven, MS