Tiffany Brown Alexander, | |
106 Fleetwood Dr, Vicksburg, MS 39180-9316 | |
(318) 471-5268 | |
Not Available |
Full Name | Tiffany Brown Alexander |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 106 Fleetwood Dr, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902282957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 116961 (Texas) | Secondary |
225X00000X | Occupational Therapist | OT-3172 (Mississippi) | Primary |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279 |
Mailing Address | Practice Location Address |
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Tiffany Brown Alexander, 106 Fleetwood Dr, Vicksburg, MS 39180-9316 Ph: () - | Tiffany Brown Alexander, 106 Fleetwood Dr, Vicksburg, MS 39180-9316 Ph: (318) 471-5268 |
Heather Ann Green, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2222 S Frontage Rd, Vicksburg, MS 39180 Phone: 601-852-3271 | |
Kristen Danielle Dunaway, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-5518 | |
Holly Pittman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901 Mission 66, Suite A, Vicksburg, MS 39180 Phone: 601-638-4076 Fax: 601-638-4979 | |
Beth Magee, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2222 S Frontage Rd, Suite D, Vicksburg, MS 39180 Phone: 601-456-0159 | |
Catelyn Skipper, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-4076 Fax: 601-883-2232 | |
Kristy D Cole, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-4076 | |
Dedra Ratliff, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-638-4986 |