Dr John Young, | |
101 Ricky D Britt Sr Blvd, Suite 1-b, Oxford, MS 38655-9103 | |
(662) 380-5031 | |
Not Available |
Full Name | Dr John Young |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 101 Ricky D Britt Sr Blvd, Oxford, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225324163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 50-882 (Mississippi) | Primary |
Entity Name | Delta Autumn Consulting, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811288533 PECOS PAC ID: 0042480410 Enrollment ID: O20110823000750 |
Mailing Address | Practice Location Address |
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Dr John Young, 101 Ricky D Britt Sr Blvd, Suite 1-b, Oxford, MS 38655-9103 Ph: (662) 380-5031 | Dr John Young, 101 Ricky D Britt Sr Blvd, Suite 1-b, Oxford, MS 38655-9103 Ph: (662) 380-5031 |
Mrs. Brandy Baczwaski, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 152 Highway 7 South, Oxford, MS 38655 Phone: 662-234-7521 Fax: 662-236-3071 | |
Dr. Danielle Maack, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 101 Ricky D Britt Sr Blvd Ste 1b, Oxford, MS 38655 Phone: 662-259-0868 | |
Tammie Maria Hardaway, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 152 Highway 7 S, Oxford, MS 38655 Phone: 662-234-7521 Fax: 662-236-3071 | |
Dr. Sarah Ann Bilsky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 Deer Creek Dr, Oxford, MS 38655 Phone: 248-240-8003 | |
Mr. Jeffry Scott Bethay, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 34 Private Road 3151, Apartment 7, Oxford, MS 38655 Phone: 662-801-7828 | |
Dr. Scott Allen Gustafson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 551 Hathorn Rd, Oxford, MS 38655 Phone: 662-915-5272 |