Dr Justin Blake Daniels, MD | |
103 Brighton Ln, Apt/suite, Ridgeland, MS 39157-8775 | |
(601) 421-9943 | |
Not Available |
Full Name | Dr Justin Blake Daniels |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 14 Years |
Location | 103 Brighton Ln, Ridgeland, 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 |
---|---|---|---|
1013228329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | T-2302 (Mississippi) | Primary |
207P00000X | Emergency Medicine | 21838 (Mississippi) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
South Baldwin Regional Medical Center | Foley, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ies Alabama Pllc | 5395105183 | 24 |
Entity Name | Gulf Shores Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295339638 PECOS PAC ID: 0547678179 Enrollment ID: O20210506002554 |
Entity Name | Ies Alabama Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053027276 PECOS PAC ID: 5395105183 Enrollment ID: O20230712000361 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Blake Daniels, MD 103 Brighton Ln, Apt/suite, Ridgeland, MS 39157-8775 Ph: (601) 421-9943 | Dr Justin Blake Daniels, MD 103 Brighton Ln, Apt/suite, Ridgeland, MS 39157-8775 Ph: (601) 421-9943 |
Dr. Nathan Philip Mcintosh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Draperton Ct, Ridgeland, MS 39157 Phone: 769-300-9040 | |
Dr. David L. Merideth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 407b W Parkway Pl, Ridgeland, MS 39157 Phone: 601-856-7799 Fax: 601-856-6112 | |
Julian F Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Towne Center Blvd, Ste. 101a, Ridgeland, MS 39157 Phone: 601-982-7111 Fax: 601-981-2524 |