Guy O Danielson Iii, MD in Tyler, TX - Medicare Neurological Surgery

Guy O Danielson Iii, MD is a medicare enrolled "Neurological Surgery" physician in Tyler, Texas. His current practice location is 1814 Roseland Blvd, Suite 200, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-8077.

Guy O Danielson Iii is licensed to practice in Texas (license number E7042) 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 1801905674.

Contact Information

	Guy O Danielson Iii, MD
	1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4244
	(903) 595-8077
	(903) 363-1541

Map and Direction

Physician's Profile

Full Name	Guy O Danielson Iii
Gender	Male
Speciality	Neurological Surgery
Location	1814 Roseland Blvd, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801905674
Provider Enumeration Date: 08/29/2006
Last Update Date: 02/02/2016

Medicare PECOS Information:

PECOS PAC ID: 5092613604
Enrollment ID: I20040103000015

Medical Identifiers

Medical identifiers for Guy O Danielson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801905674	NPI	-	NPPES
137457111	Medicaid	TX
8K6370	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	E7042 (Texas)	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. Guy O Danielson Iii allows following entities to bill medicare on his behalf.

Entity Name	East Texas Functional Medicine Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245847672 PECOS PAC ID: 7911319496 Enrollment ID: O20201208001745

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. Guy O Danielson Iii 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
Guy O Danielson Iii, MD Po Box 6930, Tyler, TX 75711-6930 Ph: (903) 595-8077	Guy O Danielson Iii, MD 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4244 Ph: (903) 595-8077

Reviews and Comments

Neurological Surgery Doctors in Tyler, TX

Dr. Mark B Renfro, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743
James Alan Muns, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224
Dr. Jon T Ledlie, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743
Charles R Gordon, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224
James E Wortham, P.A. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224
Dr. Paul W Detwiler, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743
Dr. Nicholas Stephen Andrade, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701 Phone: 903-590-8012

Guy O Danielson Iii, MD - Medicare Neurological Surgery in Tyler, TX