| Gillbert Daryl Hallman, MD | |
|
620 Crossover Rd, Tupelo, MS 38801-4944 | |
| (662) 620-7102 | |
| (662) 620-7106 |
| Full Name | Gillbert Daryl Hallman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 620 Crossover Rd, Tupelo, 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 |
|---|---|---|---|
| 1013918952 | NPI | - | NPPES |
| 0902929 | Medicaid | OH | |
| 64932718 | Medicaid | KY | |
| 100331680A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35064475 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Dysphagia Consultants Llc | 8820360795 | 17 |
| Midwest Dysphagia Consultants Llc | 8820360795 | 17 |
| Midwest Dysphagia Consultants Llc | 8820360795 | 17 |
| Entity Name | Midwest Dysphagia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639404171 PECOS PAC ID: 8820360795 Enrollment ID: O20180213001890 |
| Mailing Address | Practice Location Address |
|---|---|
| Gillbert Daryl Hallman, MD Po Box 980, Tupelo, MS 38802-0980 Ph: (662) 620-7102 | Gillbert Daryl Hallman, MD 620 Crossover Rd, Tupelo, MS 38801-4944 Ph: (662) 620-7102 |
Dr. Anthony David Junck, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 Fax: 662-844-8298 | |
Dr. Robert Conrad Becker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Ray Reed Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 990 South Madison Street, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 | |
Dr. William Russell Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-842-1758 | |
Clinton R. Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Rd, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
Dr. Eric Ward Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 620 Crossover Road, Tupelo, MS 38801 Phone: 662-620-7101 Fax: 662-842-1457 |