Stacy Douglas Banes (NPI# 1548477318, PAC ID# 0446532329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1548477318 |
| PAC ID by PECOS | 0446532329 |
| Professional Enrollment ID | I20170130001599 |
| Full Name | Stacy Douglas Banes |
| Organization Legal Name | TRI THERAPY PLLC |
| Address |
631 Brookway Blvd Brookhaven MS 39601-2637 |
| Phone Number | 6018337317 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 3476613225 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 631 Brookway Blvd, Brookhaven, MS 39601-2637 | 6018337317 | TRI THERAPY PLLC |
| 1308 Aston Ave, Mccomb, MS 39648-2826 | 6012505517 | TRI THERAPY PLLC |
| Organization Legal Name | TRI THERAPY PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Barker | Physical Therapy | Tri Therapy Pllc | 335 E Bay St, Magnolia, MS 39652-2815 |
| Jeffrey Mcewen | Occupational Therapy | Tri Therapy Pllc | 335 E Bay St, Magnolia, MS 39652-2815 |
| Andrew F Biggs | Physical Therapy | Tri Therapy Pllc | 335 E Bay St, Magnolia, MS 39652-2815 |
| Kelly Orman | Physical Therapy | Tri Therapy Pllc | 631 Brookway Blvd, Brookhaven, MS 39601-2637 |
| Tonya Mclendon | Physical Therapy | Tri Therapy Pllc | 335 E Bay St, Magnolia, MS 39652-2815 |
| Street Address |
631 BROOKWAY BLVD |
| City | BROOKHAVEN |
| State | MS |
| Zip | 39601-2637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley C Wilson | Physical Therapy | Professional Rehab Associates | 631 Brookway Blvd, Brookhaven, MS 39601-2637 |
| Courtney C Watson | Occupational Therapy | Professional Rehab Associates | 631 Brookway Blvd, Brookhaven, MS 39601-2637 |
| Kelly H Martin | Physical Therapy | Professional Rehab Associates | 631 Brookway Blvd, Brookhaven, MS 39601-2637 |
| Kelly Orman | Physical Therapy | Tri Therapy Pllc | 631 Brookway Blvd, Brookhaven, MS 39601-2637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Stewart | General Surgery | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| James B Hall | Nephrology | 747 Industrial Park Rd Ne, Brookhaven, MS 39601-2065 | |
| Jani L Purvis | Diagnostic Radiology | 108 Lance Alworth Dr, Brookhaven, MS 39601-2300 | |
| Katherine Ross Flynn | Nurse Practitioner | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Richard E. Miller | Nephrology | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Holly Alicia Kimbrell | Nurse Practitioner | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Braxter P Irby Jr. | Internal Medicine | Southwest Ms Nephrology, Pllc | 513 C Brookman Dr, Brookhaven, MS 39601-2326 |
| Timothy R Shann | Pediatric Medicine | Kdmc Physician Clinics LLC | 509 Brookman Dr, Brookhaven, MS 39601-2326 |
| Charles Asa Reynolds | General Surgery | Brookhaven Surgery Clinic P.a. | 1036 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Briana Hall Price | Nurse Practitioner | Brookhaven Anesthesia and Pain Management | 1024 D A Biglane Dr, Brookhaven, MS 39601-2331 |
| Find all physicians in zip 39601 | |||
| City | BROOKHAVEN |
| Zip Code | 39601 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | BROOKHAVEN + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Stacy Douglas Banes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.