| Dr Stacy Mcinnis-blalock, AUD | |
|
1600 22nd Ave, Meridian, MS 39301-3223 | |
| (601) 483-5322 | |
| (601) 553-2955 |
| Full Name | Dr Stacy Mcinnis-blalock |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 16 Years |
| Location | 1600 22nd Ave, Meridian, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518325299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A3027 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Regional Medical Ctr | Meridian, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anderson Physician Alliance Inc | 3274727318 | 64 |
| Provider Name | Joel T Callahan Thomas H Greer Jr & A Gary Boone Ptr |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1932248853 PECOS PAC ID: 0143390146 Enrollment ID: O20080603000365 |
| Provider Name | Anderson Physician Alliance Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760798227 PECOS PAC ID: 3274727318 Enrollment ID: O20101102000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacy Mcinnis-blalock, AUD Po Box 749215, Atlanta, GA 30374-9215 Ph: (901) 226-3186 | Dr Stacy Mcinnis-blalock, AUD 1600 22nd Ave, Meridian, MS 39301-3223 Ph: (601) 483-5322 |
Judith F. Hammack, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2203 Hwy 39 N, Suite A, Box 5, Meridian, MS 39301 Phone: 601-483-8121 Fax: 601-485-6627 | |
Joanna V. Mckinley, M.S., C.C.C-A. Audiologist Medicare: Medicare Enrolled Practice Location: 1800 12th St, Meridian, MS 39301 Phone: 601-703-9595 Fax: 601-703-4349 |