| Mr Jason Matthew Tanner, LCSW | |
|
372 S Greeno Rd, Fairhope, AL 36532-1916 | |
| (251) 990-4243 | |
| (251) 928-0126 |
| Full Name | Mr Jason Matthew Tanner |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 372 S Greeno Rd, Fairhope, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255588166 | NPI | - | NPPES |
| 051530538 | Other | AL | BLUE CROSS/ BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0873C (Alabama) | Primary |
| Entity Name | Altapointe Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518095413 PECOS PAC ID: 1052224052 Enrollment ID: O20040206000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Matthew Tanner, LCSW 372 S Greeno Rd, Fairhope, AL 36532-1916 Ph: (251) 990-4243 | Mr Jason Matthew Tanner, LCSW 372 S Greeno Rd, Fairhope, AL 36532-1916 Ph: (251) 990-4243 |
Anita D Giannaris, LCSW, PIP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 913 Plantation Blvd Ste E, Fairhope, AL 36532 Phone: 858-829-5106 | |
Mr. Hiram K Johnson, MA, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22765 Us Highway 98 Ste A4, Fairhope, AL 36532 Phone: 251-517-7585 Fax: 251-929-4217 | |
Mr. Roger Keith Stewart, LCSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 909 Edwards Ave, Fairhope, AL 36532 Phone: 251-928-0702 | |
Hope Elaine Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19605 Greeno Rd Ste 1201, Fairhope, AL 36532 Phone: 850-642-1859 | |
Ms. Barbara Ann Lyrene, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7525 Assunta Court, Suite A, Fairhope, AL 36532 Phone: 251-928-6292 Fax: 251-928-2250 | |
Katherine A Cooper-lawton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 372 Greeno Rd S, Fairhope, AL 36532 Phone: 251-450-5915 |