Melody R Stupey, MD | |
107 S Divison St, Spokane, WA 99202-1510 | |
(509) 838-4651 | |
(509) 363-2762 |
Full Name | Melody R Stupey |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 107 S Divison St, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821022419 | NPI | - | NPPES |
000094476 | Other | MT | BCBS PIN |
123069700 | Other | WY | MDCD PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 11109 (Montana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD00035794 (Washington) | Primary |
Entity Name | Peacehealth Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598 |
Entity Name | Peacehealth Medical Group Cottage Grove |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333 |
Mailing Address | Practice Location Address |
---|---|
Melody R Stupey, MD 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651 | Melody R Stupey, MD 107 S Divison St, Spokane, WA 99202-1510 Ph: (509) 838-4651 |
Robert Leonard Mulvihill, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S. Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Dr. Jason Lamar Aldred, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 S Sherman St, Suite 201, Spokane, WA 99202 Phone: 509-458-7720 Fax: 509-777-0432 | |
Abdelrahman Fouad Ahmed Beltagy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-2894 Fax: 509-474-2895 | |
Jocelyn Cayla Mccornack, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 | |
Hyung Uk Park, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9631 N Nevada St Ste 300, Spokane, WA 99218 Phone: 509-465-3919 | |
Laura C Moss, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-4818 | |
Thomas Stanley Beck Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |