Jeremiah Wesley Daniels, CRNA in Hattiesburg, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Jeremiah Wesley Daniels, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. He graduated from nursing school in 2006 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hattiesburg Clinic Pa, North Mississippi Medical Center, Inc. and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-3606.

Jeremiah Wesley Daniels is licensed to practice in Mississippi (license number 863775) 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 1518014166.

Contact Information

	Jeremiah Wesley Daniels, CRNA
	415 S 28th Ave, Hattiesburg, MS 39401-7246
	(601) 261-3606
	(601) 579-5383

Map and Direction

Provider's Profile

Full Name	Jeremiah Wesley Daniels
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	415 S 28th Ave, Hattiesburg, 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.

Medical Education and Training:

Jeremiah Wesley Daniels graduated from nursing school in 2006

NPI Data:

NPI Number: 1518014166
Provider Enumeration Date: 01/05/2007
Last Update Date: 10/27/2025

Medicare PECOS Information:

PECOS PAC ID: 0941202436
Enrollment ID: I20170615000202

Medical Identifiers

Medical identifiers for Jeremiah Wesley Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518014166	NPI	-	NPPES
1952395097	Other	GA	NORTH GEORGIA MEDICAL CENTER NPI
02323776	Medicaid	MS
RN187112	Other	GA	RN LICENSE
58-1896463	Other	GA	NORTH GEORGIA MEDICAL CENTER, TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9215601 (Florida)	Secondary
163W00000X	Registered Nurse	RN187112 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	863775 (Mississippi)	Primary
367500000X	Nurse Anesthetist, Certified Registered	901433 (Mississippi)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN187112 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Forrest General Hospital	Hattiesburg, MS	Hospital
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492
North Mississippi Medical Center, Inc.	9931010600	298

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. Jeremiah Wesley Daniels allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

Entity Name	Clay County Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578670972 PECOS PAC ID: 4789649609 Enrollment ID: O20041119000718

Entity Name	Monroe Health Services Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1619559309 PECOS PAC ID: 8224376561 Enrollment ID: O20210602001080

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. Jeremiah Wesley Daniels 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 Address	Practice Location Address
Jeremiah Wesley Daniels, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606	Jeremiah Wesley Daniels, CRNA 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 261-3606

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Mr. Corey White, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Daniel Attaway, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606
Brandon Scott Figueiredo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383
Scott Evans Walker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5166

Jeremiah Wesley Daniels, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS