Mr Jeremiah Wesley Daniels, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hattiesburg, MS

Mr Jeremiah Wesley Daniels, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hattiesburg, Mississippi. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Hattiesburg Clinic, Pa and his current practice location is 415 S 28th Ave, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 261-3606.

Mr Jeremiah Wesley Daniels is licensed to practice in Mississippi (license number 901433) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518014166.

Contact Information

Mr Jeremiah Wesley Daniels, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246
(601) 261-3606
(601) 579-5383



Provider's Profile

Full NameMr Jeremiah Wesley Daniels
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location415 S 28th Ave, Hattiesburg, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jeremiah Wesley Daniels graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1518014166
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 08/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0941202436
  • Enrollment ID: I20170615000202

Medical Identifiers

Medical identifiers for Mr Jeremiah Wesley Daniels such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518014166NPI-NPPES
1952395097OtherGANORTH GEORGIA MEDICAL CENTER NPI
02323776MedicaidMS
RN187112OtherGARN LICENSE
58-1896463OtherGANORTH GEORGIA MEDICAL CENTER, TAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9215601 (Florida)Secondary
163W00000XRegistered Nurse RN187112 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered RN187112 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 901433 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Forrest General HospitalHattiesburg, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hattiesburg Clinic, Pa5193706794489

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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. Mr Jeremiah Wesley Daniels allows following entities to bill medicare on his behalf.
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685

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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. Mr Jeremiah Wesley Daniels 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
Mr Jeremiah Wesley Daniels, CRNA
415 South 28th Avenue,
Hattiesburg, MS 39401

Ph: (601) 261-3606
Mr Jeremiah Wesley Daniels, CRNA
415 S 28th Ave,
Hattiesburg, MS 39401-7246

Ph: (601) 261-3606

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Nurse Anesthetist, Certified Registered Nurses in Hattiesburg, MS

Darvin L Sibley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166
Jeremy Alan Vance, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5240
Ms. Kimberly A.h. Sundland, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Mr. Corey White,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Daniel Attaway, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    
Brandon Scott Figueiredo, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5383
Scott Evans Walker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401
Phone: 601-261-3606    Fax: 601-579-5166

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