Daniel Keith Sanford, MD | |
421 S 28th Ave Ste 200, Hattiesburg, MS 39401-7208 | |
(601) 268-5640 | |
Not Available |
Full Name | Daniel Keith Sanford |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 28 Years |
Location | 421 S 28th Ave Ste 200, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801839808 | NPI | - | NPPES |
036108680 | Medicaid | IL | |
370966854017 | Medicaid | IL | |
CF3444 | Other | IL | MEDICARE RAILROAD GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036108680 (Illinois) | Secondary |
207V00000X | Obstetrics & Gynecology | 30958 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Clinic, Pa | 5193706794 | 488 |
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 |
Mailing Address | Practice Location Address |
---|---|
Daniel Keith Sanford, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Daniel Keith Sanford, MD 421 S 28th Ave Ste 200, Hattiesburg, MS 39401-7208 Ph: (601) 268-5640 |
Jeffrey L Hudson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Christina Lynn Goodridge, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave Ste 200, Hattiesburg, MS 39401 Phone: 601-268-5640 | |
Dr. William L Pace, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559 | |
Kelly R O'neal, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 421 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Eldred J Wiser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6524 U S Highway 98, Hattiesburg, MS 39402 Phone: 601-268-9393 Fax: 601-268-9559 | |
Lauren Ayres Bethea, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401 Phone: 601-268-5640 Fax: 601-261-3507 | |
Dr. Eugene Linwood Shannon, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 62 Old Airport Rd, Hattiesburg, MS 39401 Phone: 601-544-4550 Fax: 601-582-3373 |