Stephanie Tubbs, | |
1805 School St, Ocean Springs, MS 39564-3049 | |
(228) 761-6314 | |
Not Available |
Full Name | Stephanie Tubbs |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1805 School St, Ocean Springs, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396444071 | NPI | - | NPPES |
NA | Other | NA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C10500 (Mississippi) | Primary |
1041C0700X | Social Worker - Clinical | 13597854-3504 (Utah) | Secondary |
Entity Name | Peterson Medical Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20180420000250 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Tubbs, 1805 School St, Ocean Springs, MS 39564-3049 Ph: (228) 761-6314 | Stephanie Tubbs, 1805 School St, Ocean Springs, MS 39564-3049 Ph: (228) 761-6314 |
Amy N Haffey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Bienville Blvd Ste M1, Ocean Springs, MS 39564 Phone: 616-826-4800 | |
Moira Anderson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 509 Jackson Ave, Ocean Springs, MS 39564 Phone: 228-875-6113 Fax: 228-875-9065 | |
Ms. Carrie Virginia Pate, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2112 Bienville Blvd, Suite L-1, Ocean Springs, MS 39564 Phone: 228-990-8980 Fax: 228-215-1721 | |
Karen Zittleman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 Magnolia Bayou Blvd, Ocean Springs, MS 39564 Phone: 228-326-7575 | |
Ms. Michele Basie Allen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 904 Desoto St, Ocean Springs, MS 39564 Phone: 228-872-8429 Fax: 228-872-0226 | |
Ms. Ashley Pugeau Pearson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2113 Government St Ste I-2e, Ocean Springs, MS 39564 Phone: 228-222-8006 | |
Mrs. Carla B Powell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 904 De Soto Street, Ocean Springs, MS 39564 Phone: 228-872-2020 Fax: 228-872-0226 |