| Larkin Jeffrey Daniels, MD | |
|
1855 Springhill Ave, Mobile, AL 36607-2301 | |
| (251) 471-3544 | |
| (251) 476-7254 |
| Full Name | Larkin Jeffrey Daniels |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 33 Years |
| Location | 1855 Springhill Ave, Mobile, Alabama |
| 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 |
|---|---|---|---|
| 1669470423 | NPI | - | NPPES |
| 051551856 | Medicaid | AL | |
| 515-10053 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 00024489 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mobile Infirmary Medical Center | Mobile, AL | Hospital |
| Thomas Hospital | Fairhope, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imc-cancer Surgery Of Mobile, Llc | 1557550589 | 22 |
| Entity Name | Imc-cancer Surgery Of Mobile, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063714012 PECOS PAC ID: 1557550589 Enrollment ID: O20110106000691 |
| Mailing Address | Practice Location Address |
|---|---|
| Larkin Jeffrey Daniels, MD 1855 Springhill Ave, Mobile, AL 36607-2301 Ph: (251) 471-3544 | Larkin Jeffrey Daniels, MD 1855 Springhill Ave, Mobile, AL 36607-2301 Ph: (251) 471-3544 |
John William Boyer, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1855 Springhill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 | |
John Everett Stone Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1855 Springhill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 | |
Mark Andre Goncalves, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1855 Springhill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 | |
Tung Van Vu, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1855 Spring Hill Ave, Mobile, AL 36607 Phone: 251-471-3544 | |
Dr. Robert Lewis Wilson Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3715 Dauphin St Ste 7a, Mobile, AL 36608 Phone: 251-410-4001 Fax: 251-410-4002 | |
Dr. Joseph Locicero, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 251 N Bayou St, Mobile, AL 36603 Phone: 251-690-8158 Fax: 251-544-2188 | |
Peter N/a Pluscht Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1855 Springhill Ave, Mobile, AL 36607 Phone: 251-471-3544 Fax: 251-476-7254 |