Kori Mcdaniel, DO - Medicare Internal Medicine in Jackson, MS

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Kori Mcdaniel, DO is a medicare enrolled "Internal Medicine" physician in Jackson, Mississippi. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice St. Dominic Medical Associates Llc, Attala Emergency Group Llc and his current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-4644.

Kori Mcdaniel is licensed to practice in Mississippi (license number 25441) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255740791.

Contact Information

Kori Mcdaniel, DO
969 Lakeland Dr,
Jackson, MS 39216-4606
(601) 200-4644
(601) 200-4645

Map and Direction




Physician's Profile

Full NameKori Mcdaniel
GenderMale
SpecialityInternal Medicine
Experience10 Years
Location969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kori Mcdaniel graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1255740791
  • Provider Enumeration Date: 08/08/2014
  • Last Update Date: 07/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193084598
  • Enrollment ID: I20180110001097

Medical Identifiers

Medical identifiers for Kori Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255740791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0116027608 (Virginia)Secondary
207R00000XInternal Medicine 25441 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Dominic-jackson Memorial HospitalJackson, MSHospital
Baptist Medical Center AttalaKosciusko, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. Dominic Medical Associates Llc0446303168154
Attala Emergency Group Llc529498434011

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kori Mcdaniel allows following entities to bill medicare on his behalf.
Entity NameSt. Dominic Medical Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407920549
PECOS PAC ID: 0446303168
Enrollment ID: O20090728000821
Entity NameAttala Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407103294
PECOS PAC ID: 5294984340
Enrollment ID: O20121004000363
Entity NameSt. Dominic Hospital Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104362292
PECOS PAC ID: 5597034348
Enrollment ID: O20170711000091
Entity NameLeake Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669028130
PECOS PAC ID: 4486985256
Enrollment ID: O20191009000078

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kori Mcdaniel is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kori Mcdaniel, DO
Po Box 22727,
Jackson, MS 39225-2727

Ph: (601) 200-4644		Kori Mcdaniel, DO
969 Lakeland Dr,
Jackson, MS 39216-4606

Ph: (601) 200-4644

Reviews and Comments


Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 406 Briarwood Dr, Jackson, MS 39206
Phone: 601-991-1933    Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202
Phone: 601-352-2273    Fax: 601-714-3415
Jewelian Akbar Baig, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216
Phone: 601-200-4644    Fax: 601-200-4645
Jo P Deal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216
Phone: 601-368-3440    Fax: 601-368-3441
Caryl P. Sumrall, FNP
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, MS 39216
Phone: 601-984-5660    
Meghan Alford Luter, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5532    
Tammy H Young, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1227 N State St, Ste 101, Jackson, MS 39202
Phone: 601-355-2485    Fax: 601-353-1463

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.