Dr Kenneth Ray Daughtrey Jr, MD | |
3550 Highway 468 W, Pearl, MS 39208-5529 | |
(601) 351-8000 | |
(601) 351-8301 |
Full Name | Dr Kenneth Ray Daughtrey Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 38 Years |
Location | 3550 Highway 468 W, Pearl, 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 |
---|---|---|---|
1902814361 | NPI | - | NPPES |
04475520 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 11516 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Covington County Hospital Cah | Collins, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Covington County Hospital | 4183517253 | 30 |
Entity Name | Md Billing, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548474042 PECOS PAC ID: 0648210831 Enrollment ID: O20050506000374 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598769044 PECOS PAC ID: 4183517253 Enrollment ID: O20080722000557 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1225150436 PECOS PAC ID: 4183517253 Enrollment ID: O20080912000376 |
Entity Name | Covington County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831895911 PECOS PAC ID: 4183517253 Enrollment ID: O20230315002492 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth Ray Daughtrey Jr, MD Po Box 157a, Whitfield, MS 39193-0157 Ph: (601) 351-8000 | Dr Kenneth Ray Daughtrey Jr, MD 3550 Highway 468 W, Pearl, MS 39208-5529 Ph: (601) 351-8000 |
Dr. Richard J. Aubert Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W, Pearl, MS 39208 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Bimal Deep Aujla, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3550 Highway 468 W, Pearl, MS 39208 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Margaret E. Tidd, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Pearl, MS 39208 Phone: 601-351-8000 Fax: 601-351-8301 | |
Dr. Nancy Sharon Martin, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Highway 468 W, Pearl, MS 39208 Phone: 601-351-8000 Fax: 601-351-8301 | |
Zachary Robinson, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3550 Ms-468, Building 25, Pearl, MS 39208 Phone: 601-351-8000 |