| Stephanie Tubbs, | |
|
1805 School St, Ocean Springs, MS 39564-3049 | |
| (228) 761-6314 | |
| Not Available |
| Full Name | Stephanie Tubbs |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1805 School St, Ocean Springs, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396444071 | NPI | - | NPPES |
| NA | Other | NA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C10500 (Mississippi) | Primary |
| 1041C0700X | Social Worker - Clinical | 13597854-3504 (Utah) | Secondary |
| Entity Name | Peterson Medical Clinics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20180420000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Tubbs, 1805 School St, Ocean Springs, MS 39564-3049 Ph: (228) 761-6314 | Stephanie Tubbs, 1805 School St, Ocean Springs, MS 39564-3049 Ph: (228) 761-6314 |
Amy N Haffey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2112 Bienville Blvd Ste M1, Ocean Springs, MS 39564 Phone: 616-826-4800 | |
Moira Anderson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3670 Groveland Rd Ste A, Ocean Springs, MS 39564 Phone: 228-365-3191 | |
Jesse Gruich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 509 Jackson Ave, Ocean Springs, MS 39564 Phone: 228-875-6113 Fax: 228-875-9065 | |
Ms. Carrie Virginia Pate, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2112 Bienville Blvd, Suite L-1, Ocean Springs, MS 39564 Phone: 228-990-8980 Fax: 228-215-1721 | |
Karen Zittleman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 Magnolia Bayou Blvd, Ocean Springs, MS 39564 Phone: 228-326-7575 | |
Ms. Michele Basie Allen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 904 Desoto St, Ocean Springs, MS 39564 Phone: 228-872-8429 Fax: 228-872-0226 | |
Ms. Ashley Pugeau Pearson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2113 Government St Ste I-2e, Ocean Springs, MS 39564 Phone: 228-222-8006 |