| Tallahassee Brain Stimulation Center, Llc | |
|
1407 M D Ln Suite A Tallahassee FL 32308-5349 | |
| (850) 205-0192 | |
| Not Available |
| Full Name | Tallahassee Brain Stimulation Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1407 M D Ln, Tallahassee, Florida |
| Authorized Official Name and Position | Pauline Sabitsch (PRACTICE MANAGER) |
| Authorized Official Contact | 8502050192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Brain Stimulation Center, Llc 1407 M D Ln Suite A Tallahassee FL 32308-5349 Ph: (850) 205-0192 | Tallahassee Brain Stimulation Center, Llc 1407 M D Ln Suite A Tallahassee FL 32308-5349 Ph: (850) 205-0192 |
| NPI Number | 1851769244 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Medicare PECOS PAC ID | 1254634090 |
|---|---|
| Medicare Enrollment ID | O20160128000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851769244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Ferraro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093805186 PECOS PAC ID: 2961570478 Enrollment ID: I20081010000576 |
| Provider Name | Faisal A Munasifi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437222403 PECOS PAC ID: 3971779521 Enrollment ID: I20120103000087 |
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