Declan F Hegarty, MD | |
57 Dewey St, Lucedale, MS 39452-5707 | |
(601) 766-0308 | |
(601) 766-0309 |
Full Name | Declan F Hegarty |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 57 Dewey St, Lucedale, 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 |
---|---|---|---|
1477526945 | NPI | - | NPPES |
25465 | Other | MS | MS MEDICAL LICENSURE |
1477526945 | Other | FL | NPI |
277709600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME94859 (Florida) | Secondary |
208600000X | Surgery | 25465 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Merit Health River Region | Vicksburg, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vicksburg Clinic Llc | 5890696330 | 23 |
Entity Name | Vicksburg Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738 |
Entity Name | Vicksburg Healthcare Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629084058 PECOS PAC ID: 4688575129 Enrollment ID: O20040213000299 |
Entity Name | Community Surgical Center Dr. David Crump |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730269846 PECOS PAC ID: 3779534318 Enrollment ID: O20050201000777 |
Mailing Address | Practice Location Address |
---|---|
Declan F Hegarty, MD Po Box 1007, Lucedale, MS 39452-1007 Ph: (601) 766-0308 | Declan F Hegarty, MD 57 Dewey St, Lucedale, MS 39452-5707 Ph: (601) 766-0308 |
Vincent L Grant, MD PLC Surgery Medicare: Accepting Medicare Assignments Practice Location: 57 Dewey St, Lucedale, MS 39452 Phone: 601-766-0308 Fax: 601-766-0309 | |
Dr. Spencer Daniel Richardson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 57 Ratliff St, Lucedale, MS 39452 Phone: 601-766-0308 | |
Dr. Christopher E Clark, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 57 Dewey St, Lucedale, MS 39452 Phone: 601-766-0308 Fax: 601-766-0309 |