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

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



Physician's Profile

Full NameGuy O Danielson Iii
GenderMale
SpecialityNeurological Surgery
Location1814 Roseland Blvd, Tyler, Texas
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1801905674NPI-NPPES
137457111MedicaidTX
8K6370OtherBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological 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 NameEast Texas Functional Medicine Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245847672
PECOS PAC ID: 7911319496
Enrollment ID: O20201208001745

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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 AddressPractice 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

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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    

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