| Painstop Spine Clinic, Llc | |
|
3003 Shortcut Rd Pascagoula MS 39567-1810 | |
| (228) 273-4096 | |
| (228) 594-1765 |
| Full Name | Painstop Spine Clinic, Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 3003 Shortcut Rd, Pascagoula, 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 Po Box 4594 Biloxi MS 39535-4594 Ph: (228) 273-4096 | Painstop Spine Clinic, Llc 3003 Shortcut Rd Pascagoula MS 39567-1810 Ph: (228) 273-4096 |
| NPI Number | 1558666149 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/07/2020 |
| Medicare PECOS PAC ID | 9739355124 |
|---|---|
| Medicare Enrollment ID | O20170829003606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558666149 | NPI | - | NPPES |
| 00057070 | Medicaid | MS | |
| 30270G0134 | Other | MS | MCR PTAN GROUP |
| DT9919 | Other | MS | RAILROAD MEDICARE, GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
Pas Point Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Jefferson Ave, Pascagoula, MS 39563 Phone: 228-769-1166 | |
Ochsner Mississippi, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Criswell Ave, Pascagoula, MS 39567 Phone: 228-762-0713 Fax: 228-769-7484 | |
Pascagoula Family Practice Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ste 202, 4211 Hospital Street, Pascagoula, MS 39581 Phone: 228-762-3466 Fax: 228-762-6349 | |
Inpatient Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2809 Denny Ave, Pascagoula, MS 39581 Phone: 228-809-5510 Fax: 228-809-5519 | |
Pascagoula Clinic Of Chiropractic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 421 Delmas Ave, Pascagoula, MS 39567 Phone: 228-205-3985 Fax: 228-205-3987 | |
Okee Ekenna, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3702 Jefferson Ave, Pascagoula, MS 39563 Phone: 228-769-2588 Fax: 228-769-2589 | |
Quad/med, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 Phone: 228-935-4890 |