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Tanja Seifen

Psychologist

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Tanja Seifen is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316537871
Provider Type
Individual
Full Name
Seifen, Tanja
Credential
PHD

Gender
Female
Sole Proprietor
No
Enumeration Date
1/19/2021
Last Updated
1/19/2021

Contact Information

Practice Location

2500 N State St, Jackson, MS 39216-4500

(601) 984-6925

Unlisted Fax

Mailing Location

835 Arlington St, Jackson, MS 39202-1619

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License 601069 Mississippi

Tanja Seifen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Foster, Penni Smith

Lott, William C

Young, Lashun A.

Dehon, Erin

Burgess, Danny Ray

Voluse, Andrew Craig

Schumacher-Coffey, Julie A

Gabriele, Jeanne Marisa

Patel, Amee B

Dubbert, Patricia Marie