Guy O Danielson Iii, MD - Medicare Neurological Surgery in Tyler, TX

Guy O Danielson Iii, MD is a medicare enrolled "Neurological Surgery" physician in Tyler, Texas. His current practice location is 1814 Roseland Blvd, Suite 200, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-8077.

Guy O Danielson Iii is licensed to practice in Texas (license number E7042) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801905674.

Contact Information

Guy O Danielson Iii, MD
1814 Roseland Blvd, Suite 200,
Tyler, TX 75701-4244
(903) 595-8077
(903) 363-1541

Map and Direction




Physician's Profile

Full NameGuy O Danielson Iii
GenderMale
SpecialityNeurological Surgery
Location1814 Roseland Blvd, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801905674
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 02/02/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5092613604
  • Enrollment ID: I20040103000015

Medical Identifiers

Medical identifiers for Guy O Danielson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801905674NPI-NPPES
137457111MedicaidTX
8K6370OtherBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery E7042 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Guy O Danielson Iii allows following entities to bill medicare on his behalf.
Entity NameEast Texas Functional Medicine Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245847672
PECOS PAC ID: 7911319496
Enrollment ID: O20201208001745

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Guy O Danielson Iii is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Guy O Danielson Iii, MD
Po Box 6930,
Tyler, TX 75711-6930

Ph: (903) 595-8077
Guy O Danielson Iii, MD
1814 Roseland Blvd, Suite 200,
Tyler, TX 75701-4244

Ph: (903) 595-8077

Reviews and Comments


Neurological Surgery Doctors in Tyler, TX

Dr. Mark B Renfro, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701
Phone: 903-595-2441    Fax: 903-595-0743
James Alan Muns, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2737 S Broadway Ave, Tyler, TX 75701
Phone: 903-592-6000    Fax: 903-592-3224
Dr. Jon T Ledlie, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701
Phone: 903-595-2441    Fax: 903-595-0743
Charles R Gordon, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2737 S Broadway Ave, Tyler, TX 75701
Phone: 903-592-6000    Fax: 903-592-3224
James E Wortham, P.A.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2737 S Broadway Ave, Tyler, TX 75701
Phone: 903-592-6000    Fax: 903-592-3224
Dr. Paul W Detwiler, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701
Phone: 903-595-2441    Fax: 903-595-0743
Dr. Nicholas Stephen Andrade, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701
Phone: 903-590-8012    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.