Darrell Nettlow, MD in Keesler Afb, MS - Medicare Internal Medicine

Darrell Nettlow, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Keesler Afb, Mississippi. His current practice location is 301 Fisher St, Keesler Afb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 376-2273.

Darrell Nettlow is licensed to practice in Mississippi (license number 29134) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669851697.

Contact Information

	Darrell Nettlow, MD
	301 Fisher St, Keesler Afb, MS 39534-2508
	(228) 376-2273
	Not Available

Map and Direction

Physician's Profile

Full Name	Darrell Nettlow
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	301 Fisher St, Keesler Afb, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669851697
Provider Enumeration Date: 05/22/2015
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 6507142056
Enrollment ID: I20221012004165

Medical Identifiers

Medical identifiers for Darrell Nettlow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669851697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	29134 (Mississippi)	Secondary
207R00000X	Internal Medicine	A155909 (California)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	330830 (Louisiana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	29134 (Mississippi)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	A155909 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	A155909 (California)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	330830 (Louisiana)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	29134 (Mississippi)	Primary

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. Darrell Nettlow allows following entities to bill medicare on his behalf.

Entity Name	Rutland Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578527578 PECOS PAC ID: 7214846377 Enrollment ID: O20040427000707

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. Darrell Nettlow 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
Darrell Nettlow, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-3846	Darrell Nettlow, MD 301 Fisher St, Keesler Afb, MS 39534-2508 Ph: (228) 376-2273

Reviews and Comments

Internal Medicine Doctors in Keesler Afb, MS

Ms. Melinda Marie Auxier, D.O. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 Fisher St, 88 Mdos/sgom, Keesler Afb, MS 39534 Phone: 228-376-0576
Brycen Wilson, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 81 Mdss/gme, 301 Fisher Street Rm 1g123, Keesler Afb, MS 39534 Phone: 865-806-5088
Dr. Sierra Nicole Canapp, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 Fisher St Rm 1g123, Keesler Afb, MS 39534 Phone: 228-376-3728
Frank David Russo, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3807 Fax: 228-376-0105
Dr. Matthew Christopher Hann, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-342-6178
Stuart Thomas Wood, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3551
Dr. Jonathan Patrick Pollock, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 301 Fisher St, Keesler Afb, MS 39534 Phone: 228-376-3811

Darrell Nettlow, MD - Medicare Internal Medicine in Keesler Afb, MS