Daisy Marie Thomas, MD | |
500 Ccc Road, Belzoni, MS 39038 | |
(662) 247-3831 | |
Not Available |
Full Name | Daisy Marie Thomas |
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Gender | Female |
Speciality | Family Medicine |
Location | 500 Ccc Road, Belzoni, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104955301 | NPI | - | NPPES |
00018415 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 07839 (Mississippi) | Primary |
Entity Name | South Sunflower County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184679292 PECOS PAC ID: 6709771637 Enrollment ID: O20040218000979 |
Entity Name | Correct Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Mailing Address | Practice Location Address |
---|---|
Daisy Marie Thomas, MD 500 Ccc Road, Belzoni, MS 39038 Ph: (662) 247-3831 | Daisy Marie Thomas, MD 500 Ccc Road, Belzoni, MS 39038 Ph: (662) 247-3831 |
Sean Shahzad Dailami-pour, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 116 Hayden Street, Belzoni, MS 39038 Phone: 662-247-1252 Fax: 662-247-3865 | |
Baylee Richardson, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 107 Church St, Belzoni, MS 39038 Phone: 662-247-2105 Fax: 662-247-4849 |