| Fakhri Dalati, MD | |
|
2520 5th St N, Columbus, MS 39705-2008 | |
| (662) 244-2042 | |
| (662) 244-2041 |
| Full Name | Fakhri Dalati |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Desoto | Southaven, MS | Hospital |
| Baptist Health Paducah | Paducah, KY | Hospital |
| St Dominic-jackson Memorial Hospital | Jackson, MS | Hospital |
| Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
| Baptist Memorial Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Physician Services Pc | 0042307852 | 608 |
| Southeastern Physician Services Pc | 0042307852 | 608 |
| Greenbrook Physician Services, Llc | 5597267427 | 66 |
| Rh Mississippi Hospitalist Medicine Llc | 0547791873 | 74 |
| 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: O20090715000150 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841822327 PECOS PAC ID: 9032021431 Enrollment ID: O20200610002146 |
| 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 |