| Dr Jennifer Michelle Branscome, PHD | |
|
2236 Bemiss Rd, Valdosta, GA 31602-1942 | |
| (229) 474-9800 | |
| (912) 550-4166 |
| Full Name | Dr Jennifer Michelle Branscome |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 2236 Bemiss Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790240984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY11159 (Florida) | Secondary |
| 103T00000X | Psychologist | PSY003898 (Georgia) | Primary |
| Entity Name | Baptist Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Michelle Branscome, PHD 2224 Pin Oak Cir, Valdosta, GA 31602-3727 Ph: (229) 507-0484 | Dr Jennifer Michelle Branscome, PHD 2236 Bemiss Rd, Valdosta, GA 31602-1942 Ph: (229) 474-9800 |
Dr. Destin Nicole Stewart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3312 N Oak Street Ext Bldg D, Valdosta, GA 31605 Phone: 229-244-2030 Fax: 229-244-2038 | |
Dr. Wandamaria B Lopez, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2935 N Ashley St, Suite F, Valdosta, GA 31602 Phone: 229-333-2273 Fax: 229-293-7911 | |
Nikovia Milledge, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3131 N Oak Street Ext Apt 12f, Valdosta, GA 31602 Phone: 793-489-5955 | |
Dr. Marcie C Wiseman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building B-3, Valdosta, GA 31602 Phone: 229-257-0100 | |
Wilhelmenia Howell, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 303 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-244-5000 Fax: 229-244-0808 | |
Dr. Twyla Lucinda Mancil, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2236 Bemiss Rd, Valdosta, GA 31602 Phone: 229-474-9800 Fax: 912-550-4166 | |
Aldo Enrique Revilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Bermiss Rd, Moody Afb, Valdosta, GA 31699 Phone: 229-257-4211 |