Dr Tommie Brian Stretch, MD | |
55 Sergeant Prentiss Dr, Suite 7, Natchez, MS 39120-4782 | |
(601) 445-9543 | |
(601) 445-9803 |
Full Name | Dr Tommie Brian Stretch |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 55 Sergeant Prentiss Dr, Natchez, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174576730 | NPI | - | NPPES |
00113941 | Medicaid | MS | |
1928291 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 12805 (Mississippi) | Secondary |
208000000X | Pediatrics | 019243 (Louisiana) | Primary |
208000000X | Pediatrics | 0101283243 (Virginia) | Secondary |
Entity Name | Ochsner Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
Mailing Address | Practice Location Address |
---|---|
Dr Tommie Brian Stretch, MD 55 Sgt Prentiss Dr, Natchez, MS 39120-4740 Ph: (601) 445-9543 | Dr Tommie Brian Stretch, MD 55 Sergeant Prentiss Dr, Suite 7, Natchez, MS 39120-4782 Ph: (601) 445-9543 |
Dr. David Alan Timm, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 308 Highland Blvd, Natchez, MS 39120 Phone: 601-442-7676 Fax: 601-442-9590 | |
Dr. Danita Ronique Weary, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Jefferson Davis Blvd, Natchez, MS 39120 Phone: 601-442-5439 Fax: 601-442-3755 | |
Dr. Jennifer Vermaelen Russ, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 136 Jefferson Davis Blvd, Natchez, MS 39120 Phone: 601-442-5439 Fax: 601-442-3755 |