| Jewell L Daniels Jr, MD | |
|
4200 W Okmulgee St, Muskogee, OK 74401-4646 | |
| (918) 683-5025 | |
| (918) 913-9703 |
| Full Name | Jewell L Daniels Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 51 Years |
| Location | 4200 W Okmulgee St, Muskogee, Oklahoma |
| 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 |
|---|---|---|---|
| 1720049364 | NPI | - | NPPES |
| 200039920A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 23095 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Health System | Tahlequah, OK | Hospital |
| Wagoner Community Hospital | Wagoner, OK | Hospital |
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Advanced Urology And Wellness Center Of Muskogee Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972796274 PECOS PAC ID: 7618960139 Enrollment ID: O20040408000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Jewell L Daniels Jr, MD 4200 W Okmulgee St, Muskogee, OK 74401-4646 Ph: (918) 683-5025 | Jewell L Daniels Jr, MD 4200 W Okmulgee St, Muskogee, OK 74401-4646 Ph: (918) 683-5025 |
Dr. James Lamar Henderson, Urology Medicare: Not Enrolled in Medicare Practice Location: 333 South 38th Street, Suite E, Muskogee, OK 74401 Phone: 918-687-1339 Fax: 918-682-5034 | |
Dr. John Thomas Freie, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1011 Honor Heights Dr, Muskogee, OK 74401 Phone: 918-683-3261 |