| Fakhri Dalati, MD | |
|
2520 5th St N, Columbus, MS 39705-2008 | |
| (662) 244-2042 | |
| (662) 244-2041 |
| Full Name | Fakhri Dalati |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 2520 5th St N, Columbus, 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 |
|---|---|---|---|
| 1013967835 | NPI | - | NPPES |
| 3335918 | Medicaid | TN | |
| 7100010830 | Medicaid | KY | |
| 4129687 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19516 (Mississippi) | Secondary |
| 208M00000X | Hospitalist | 50204 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | 38826 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Paducah | Paducah, KY | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Rh Mississippi Hospitalist Medicine Llc | 0547791873 | 64 |
| Southeastern Physician Services Pc | 0042307852 | 529 |
| University Of Louisville Physicians Inc | 3476725599 | 1264 |
| Deaconess Hospital, Inc. | 9032021431 | 382 |
| Entity Name | Southeastern Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | App Of Tennessee Hm, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396160768 PECOS PAC ID: 5395960694 Enrollment ID: O20140630001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Fakhri Dalati, MD 320 W 18th St, Hopkinsville, KY 42240-1965 Ph: (270) 887-0100 | Fakhri Dalati, MD 2520 5th St N, Columbus, MS 39705-2008 Ph: (662) 244-2042 |
Donald Anderson Fearn, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-2041 |