Dr Diane A Ferguson, MD is a medicare enrolled "Family Medicine" physician in Horn Lake, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Sandk Medical,llc and her current practice location is
2085 Goodman Rd W, Suite 50, Horn Lake, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 253-8459.
Dr Diane A Ferguson is licensed to practice in Mississippi (license number 10806) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265525331.
Physician's Profile
| Full Name | Dr Diane A Ferguson |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 30 Years |
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| Location | 2085 Goodman Rd W, Horn Lake, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Diane A Ferguson attended and graduated from University Of Mississippi School Of Medicine in 1994
NPI Data:
- NPI Number: 1265525331
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 1850469867
- Enrollment ID: I20081003000687
Medical Identifiers
Medical identifiers for Dr Diane A Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265525331 | NPI | - | NPPES |
| 0111871 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 10806 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sandk Medical,llc | 0446578660 | 2 |
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. Dr Diane A Ferguson allows following entities to bill medicare on her behalf.
| Entity Name | S&k Medical,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396134151
PECOS PAC ID: 0446578660
Enrollment ID: O20150417001003 |
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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. Dr Diane A Ferguson 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 Address | Practice Location Address |
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Dr Diane A Ferguson, MD
2085 Goodman Rd W, Suite 50,
Horn Lake, MS 38637-1416
Ph: (662) 253-8459 | Dr Diane A Ferguson, MD
2085 Goodman Rd W, Suite 50,
Horn Lake, MS 38637-1416
Ph: (662) 253-8459 |
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