Dr Darryl Wheat, LCSW | |
106 Office Park Dr Ste D, Brandon, MS 39042-2404 | |
(601) 613-5250 | |
(601) 824-7775 |
Full Name | Dr Darryl Wheat |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 36 Years |
Location | 106 Office Park Dr Ste D, Brandon, 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 |
---|---|---|---|
1194877068 | NPI | - | NPPES |
00114348 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C1490 (Mississippi) | Primary |
Entity Name | Fitness Clinic Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912352022 PECOS PAC ID: 4486938719 Enrollment ID: O20170303001462 |
Mailing Address | Practice Location Address |
---|---|
Dr Darryl Wheat, LCSW 55 Woodgate Dr, Brandon, MS 39042-2285 Ph: (601) 613-5250 | Dr Darryl Wheat, LCSW 106 Office Park Dr Ste D, Brandon, MS 39042-2404 Ph: (601) 613-5250 |
Ericka Stuckey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 557 Grants Ferry Rd, Brandon, MS 39047 Phone: 601-665-4162 Fax: 855-830-3484 | |
Leah Smith, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 721 Brookwood Cir, Brandon, MS 39042 Phone: 601-941-3358 | |
Elaine E Sendelweck, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-824-0342 Fax: 601-824-0349 | |
Fredriquia Wright, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Millcreek Cors, Brandon, MS 39047 Phone: 769-251-5989 | |
Casey A Dittus, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 613 Marquette Rd, Brandon, MS 39042 Phone: 601-284-0242 Fax: 601-824-0349 | |
Amy Baucum, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 550 Lincolns Dr, Brandon, MS 39042 Phone: 601-832-0811 |