| Dr Daniel N Holland, MD | |
|
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
| (850) 863-7607 | |
| (205) 437-5998 |
| Full Name | Dr Daniel N Holland |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 43 Years |
| Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
| 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 |
|---|---|---|---|
| 1982652871 | NPI | - | NPPES |
| 17635 | Other | FL | BCBS PROVIDER NUMBER |
| 059187650 | Other | AL | BCBS PROVIDER NUMBER |
| 040447100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME44719 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | MD28697 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Magee General Hospital | Magee, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Langlade Hospital | Antigo, WI | Hospital |
| Mayo Regional Hospital | Dover foxcroft, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grenada Emergency Group, Llc | 2163854225 | 37 |
| Emergency Medicine Services Of Maine Llc | 1052657616 | 57 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
| Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel N Holland, MD Po Box 88452, Chicago, IL 60680-1452 Ph: (205) 437-6098 | Dr Daniel N Holland, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607 |
Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Dr. Michael C Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Lon A Boutiette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. William Mendoza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Jason H Adams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 |