| Dr Stefan Massong, PHD | |
|
2472 Pass Rd, Biloxi, MS 39531-2838 | |
| (228) 388-9303 | |
| (228) 388-9306 |
| Full Name | Dr Stefan Massong |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 42 Years |
| Location | 2472 Pass Rd, Biloxi, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568556082 | NPI | - | NPPES |
| 11428838W | Other | MS | CAQH |
| 00121755 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35-579 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Applied Psychology Ctr Apc | 8325039928 | 3 |
| Entity Name | Applied Psychology Ctr Apc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457446700 PECOS PAC ID: 8325039928 Enrollment ID: O20040521000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stefan Massong, PHD 2472 Pass Rd, Biloxi, MS 39531-2838 Ph: (228) 388-9303 | Dr Stefan Massong, PHD 2472 Pass Rd, Biloxi, MS 39531-2838 Ph: (228) 388-9303 |
J. Donald Matherne, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 180b Debuys Rd Ste 202, Biloxi, MS 39531 Phone: 228-385-1827 Fax: 228-385-1127 | |
Dr. Ronald Wayne Alexander Jr., PH.D., DBSM Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave # 111b, Biloxi, MS 39531 Phone: 228-523-5314 | |
Dr. A Elizabeth Koch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2486 Pass Rd, Biloxi, MS 39531 Phone: 228-388-6006 Fax: 228-388-6027 | |
Kray A Scully, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 | |
Dr. Gustave Frank Sison Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, (116b), Biloxi, MS 39531 Phone: 228-523-4762 Fax: 228-523-4768 | |
Dr. Michael David Prazak Jr., PHD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5000 | |
Dr. Michael Reid Cumberland, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Veterans Ave, Biloxi, MS 39531 Phone: 228-523-5495 |