Mr Daniel Wendell Diers, MPT, ATC is a
Specialist/technologist - Athletic Trainer based in Laurel, Mississippi. Mr Daniel Wendell Diers is licensed to practice in Mississippi (license number AT0274) and his current practice location is
23 Mason St, Laurel, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 399-0534.
NPI number for Mr Daniel Wendell Diers is 1275663304 and his current mailing address is 92 Merchant Cir, Ellisville, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275663304.
Healthcare Provider's Profile
| Full Name | Mr Daniel Wendell Diers |
|---|
| Gender | Male |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 23 Mason St, Laurel, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275663304
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Daniel Wendell Diers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275663304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT3215 (Mississippi) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AT0274 (Mississippi) | Primary |
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. Mr Daniel Wendell Diers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Daniel Wendell Diers, MPT, ATC
92 Merchant Cir,
Ellisville, MS 39437-8709
Ph: (601) 319-1518 | Mr Daniel Wendell Diers, MPT, ATC
23 Mason St,
Laurel, MS 39440-4437
Ph: (601) 399-0534 |
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