Dr Daniel N Holland, MD | |
1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | |
(850) 863-7607 | |
(205) 437-5998 |
Full Name | Dr Daniel N Holland |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 41 Years |
Location | 1000 Mar Walt Dr, Fort Walton Beach, Florida |
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 |
---|---|---|---|
1982652871 | NPI | - | NPPES |
17635 | Other | FL | BCBS PROVIDER NUMBER |
059187650 | Other | AL | BCBS PROVIDER NUMBER |
040447100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME44719 (Florida) | Secondary |
207P00000X | Emergency Medicine | MD28697 (Maine) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Forrest General Hospital | Hattiesburg, MS | Hospital |
Northwest Mississippi Medical Center | Clarksdale, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Relias Emergency Medicine Specialists Of Hattiesburg Llc | 9032549142 | 35 |
Emergency Services Of Montgomery Pc | 6608028204 | 57 |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20131122000662 |
Entity Name | Willow Bend Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346808490 PECOS PAC ID: 2668709759 Enrollment ID: O20190813000477 |
Entity Name | Relias Emergency Medicine Specialists Of Hattiesburg Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609409440 PECOS PAC ID: 9032549142 Enrollment ID: O20200413002970 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel N Holland, MD Po Box 88452, Chicago, IL 60680-1452 Ph: (205) 437-6098 | Dr Daniel N Holland, MD 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 Ph: (850) 863-7607 |
Mrs. Andrea M Person, PA Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-862-1111 | |
Dr. Michael C Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Paula S Wadbrook, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Lon A Boutiette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. William Mendoza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Jason H Adams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 Fax: 205-437-5998 | |
Dr. Grady L Burleson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547 Phone: 850-863-7607 |