| Painstop Spine Clinic, LLC | |
|
180b Debuys Rd Biloxi MS 39531-4404 | |
| (228) 273-4096 | |
| (228) 594-1765 |
| Full Name | Painstop Spine Clinic, LLC |
|---|---|
| Speciality | Pain Medicine |
| Location | 180b Debuys Rd, Biloxi, Mississippi |
| Authorized Official Name and Position | Stacey M Tsang (GENERAL MANAGER) |
| Authorized Official Contact | 6265126348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Painstop Spine Clinic, LLC 180b Debuys Rd Ste 103 Biloxi MS 39531-4423 Ph: (228) 273-4096 | Painstop Spine Clinic, LLC 180b Debuys Rd Biloxi MS 39531-4404 Ph: (228) 273-4096 |
| NPI Number | 1063715746 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/23/2026 |
| Medicare PECOS PAC ID | 9739355124 |
|---|---|
| Medicare Enrollment ID | O20120106000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063715746 | NPI | - | NPPES |
| DT9919 | Other | MS | RAILROAD MEDICARE, GROUP PTAN |
| 30270G0134 | Other | MS | PTAN |
| 00057070 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (NU) | Primary |
| Provider Name | Brian Tsang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194819045 PECOS PAC ID: 2163315136 Enrollment ID: I20040204000237 |
| Provider Name | Rebecca Holly T Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033221106 PECOS PAC ID: 3274637749 Enrollment ID: I20070323000128 |
| Provider Name | Miguel a Melgar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821181942 PECOS PAC ID: 2860393451 Enrollment ID: I20131010000703 |
| Provider Name | Justine Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709773 PECOS PAC ID: 2365718582 Enrollment ID: I20171016002114 |
| Provider Name | Veronica Lynn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285287698 PECOS PAC ID: 8820420409 Enrollment ID: I20191120001328 |
| Provider Name | Jule Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073533196 PECOS PAC ID: 8628319472 Enrollment ID: I20191210002611 |
| Provider Name | Cynthia Lynette Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205350410 PECOS PAC ID: 9537597430 Enrollment ID: I20200306000844 |
| Provider Name | Deena Asfour-mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871120832 PECOS PAC ID: 6204265630 Enrollment ID: I20200406000853 |
| Provider Name | Tiffany M Reffit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063033108 PECOS PAC ID: 3173954443 Enrollment ID: I20200521000467 |
| Provider Name | Ramunda Cooper Livingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326780289 PECOS PAC ID: 5395132724 Enrollment ID: I20220503001806 |
| Provider Name | Keyln E Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063145902 PECOS PAC ID: 1759757453 Enrollment ID: I20221020003252 |
| Provider Name | Jennifer Mayne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346490521 PECOS PAC ID: 1951375591 Enrollment ID: I20230525001169 |
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