| Diego Velasco, MD | |
|
Hwy 80 E., Houston, MS 38851-9396 | |
| (800) 893-9698 | |
| Not Available |
| Full Name | Diego Velasco |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | Hwy 80 E., Houston, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891992434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 12667 (Mississippi) | Primary |
| Entity Name | Boa Vida Hospital of Aberdeen MS LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710405741 PECOS PAC ID: 0244505840 Enrollment ID: O20171128003460 |
| Entity Name | Boa Vida Hospital of Aberdeen MS LLC |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285164046 PECOS PAC ID: 0244505840 Enrollment ID: O20171220002880 |
| Mailing Address | Practice Location Address |
|---|---|
| Diego Velasco, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: Not Available | Diego Velasco, MD Hwy 80 E., Houston, MS 38851-9396 Ph: (800) 893-9698 |
Stanko Vuk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Hwy 8 East, Houston, MS 38851 Phone: 662-327-0401 |
Floyd Lee Horn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Hwy 8 East, Houston, MS 38851 Phone: 662-456-6226 |