| Dr Danielle D Blakeney, M D | |
|
1220 Jefferson St, Laurel, MS 39440-4355 | |
| (601) 399-6167 | |
| (601) 399-6281 |
| Full Name | Dr Danielle D Blakeney |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 1220 Jefferson St, Laurel, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942402029 | NPI | - | NPPES |
| 00608516 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 20546 (Mississippi) | Primary |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Danielle D Blakeney, M D Po Box 247, Laurel, MS 39441-0247 Ph: (601) 399-6167 | Dr Danielle D Blakeney, M D 1220 Jefferson St, Laurel, MS 39440-4355 Ph: (601) 399-6167 |
Dr. Mona Genelle Pernia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Edmund Chinchar, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
James Boyd Bronson Ii, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 | |
Teresa Randelle Camp-rogers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6281 | |
Dr. Michael Gast, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-399-6184 | |
Rebekah Kollar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4000 Fax: 601-426-4105 | |
Dr. George M Loukatos, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4415 |