Diana Minasian Stulc, MD | |
969 Lakeland Dr, Jackson, MS 39216-4606 | |
(615) 377-5658 | |
(888) 241-1404 |
Full Name | Diana Minasian Stulc |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 969 Lakeland Dr, Jackson, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225002165 | NPI | - | NPPES |
01139543 | Medicaid | MS | |
64024268 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20783 (Mississippi) | Primary |
207Q00000X | Family Medicine | 36090 (Kentucky) | Secondary |
Entity Name | Samaritan Hospital Of Troy, New York |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
Entity Name | Memorial Hospital, Albany N.y. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801837539 PECOS PAC ID: 1052203312 Enrollment ID: O20040330000224 |
Entity Name | St Peters Hospital Of The City Of Albany |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
Mailing Address | Practice Location Address |
---|---|
Diana Minasian Stulc, MD 5410 Maryland Way 300, Brentwood, TN 37072-5064 Ph: (615) 377-5658 | Diana Minasian Stulc, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (615) 377-5658 |
Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170 | |
Mrs. Christian Fortenberry, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 971 Lakeland Dr Ste 557, Jackson, MS 39216 Phone: 601-200-4560 | |
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889 | |
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241 | |
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420 | |
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616 | |
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488 |