Dr Tammy Ellen Peacock, PHD, LCSW is a
Social Worker - Clinical based in Fort Rucker, Alabama. Dr Tammy Ellen Peacock is licensed to practice in Alabama (license number 1012C) and her current practice location is
301 Andrew Avenue, Fort Rucker, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 255-7010.
NPI number for Dr Tammy Ellen Peacock is 1457682569 and her current mailing address is 301 Andrews Ave, Ft. Rucker, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457682569.
Healthcare Provider's Profile
| Full Name | Dr Tammy Ellen Peacock |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 301 Andrew Avenue, Fort Rucker, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457682569
- Provider Enumeration Date: 01/29/2010
- Last Update Date: 01/29/2010
Medical Identifiers
Medical identifiers for Dr Tammy Ellen Peacock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457682569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 290 (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1012C (Alabama) | 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. Dr Tammy Ellen Peacock 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 |
|---|
Dr Tammy Ellen Peacock, PHD, LCSW
301 Andrews Ave,
Ft. Rucker, AL 36362
Ph: (334) 255-7010 | Dr Tammy Ellen Peacock, PHD, LCSW
301 Andrew Avenue,
Fort Rucker, AL 36362-5333
Ph: (334) 255-7010 |
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