Amanda Daggett, MD | |
113 W Jackson St Ste 2c, Ridgeland, MS 39157-2402 | |
(601) 607-8222 | |
(601) 914-4804 |
Full Name | Amanda Daggett |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 9 Years |
Location | 113 W Jackson St Ste 2c, Ridgeland, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457706434 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 321999 (Louisiana) | Secondary |
207N00000X | Dermatology | 01084596A (Indiana) | Secondary |
207N00000X | Dermatology | 30216 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548996523 PECOS PAC ID: 3779471701 Enrollment ID: O20220915000021 |
Mailing Address | Practice Location Address |
---|---|
Amanda Daggett, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Amanda Daggett, MD 113 W Jackson St Ste 2c, Ridgeland, MS 39157-2402 Ph: (601) 607-8222 |
Caroline Mcintire Daggett, MD Dermatology Medicare: Medicare Enrolled Practice Location: 113 W Jackson St Ste 2c, Ridgeland, MS 39157 Phone: 601-607-8222 Fax: 601-914-4804 | |
Dr. Jasmine C. Hollinger, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157 Phone: 601-672-2044 | |
Dr. Sethelle Lucas Flowers, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 299 Highway 51, Suite F1, Ridgeland, MS 39157 Phone: 601-853-2440 Fax: 601-853-2460 | |
Dr. Gary Glenn Bolton, M. D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 305 Highland Park Cv, Ridgeland, MS 39157 Phone: 601-206-9433 Fax: 601-206-5428 |