| Dr Dirk H Danielson, MD | |
|
801goodyear Blvd., Picayune, MS 39466-3221 | |
| (601) 452-9690 | |
| Not Available |
| Full Name | Dr Dirk H Danielson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 34 Years |
| Location | 801goodyear Blvd., Picayune, Mississippi |
| 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 |
|---|---|---|---|
| 1104869353 | NPI | - | NPPES |
| P00388803 | Other | MS | RAILROAD MCARE THRU IHS |
| P00806413 | Other | MS | RRMCARE THRU HCCN |
| 00125003 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 13167 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Merit Health Wesley | Hattiesburg, MS | Hospital |
| Crossgates River Oaks Hospital | Brandon, MS | Hospital |
| Merit Health River Region | Vicksburg, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Hb Medical Services Llc | 6103273131 | 39 |
| Hattiesburg Hb Medical Services Llc | 6507220167 | 22 |
| Entity Name | Mississippi Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902174832 PECOS PAC ID: 7113193855 Enrollment ID: O20111230000560 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Natchez Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770264459 PECOS PAC ID: 8921461286 Enrollment ID: O20230905000471 |
| Entity Name | Hattiesburg Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699456376 PECOS PAC ID: 6507220167 Enrollment ID: O20230914003005 |
| Entity Name | Jackson Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184305856 PECOS PAC ID: 6103273131 Enrollment ID: O20231113001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dirk H Danielson, MD 200 Corporate Blvd., Suite 201, Lafayette, LA 70508 Ph: (800) 893-9698 | Dr Dirk H Danielson, MD 801goodyear Blvd., Picayune, MS 39466-3221 Ph: (601) 452-9690 |
Ujwal Meka, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1839 Cooper Rd Ste 100, Picayune, MS 39466 Phone: 769-242-1700 Fax: 769-242-2148 | |
Patrizia M. Colbert, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Goodyear Blvd., Picayune, MS 39466 Phone: 504-554-5455 | |
Clide S Sherrod, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 801 Goodyear Blvd, Picayune, MS 39466 Phone: 601-798-4711 |