Jennelle Lynne Daly, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Scottsdale, Arizona. Her current practice location is
9300 E Raintree Dr Ste 130, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 677-4312.
Jennelle Lynne Daly is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295233997.
Physician's Profile
Full Name | Jennelle Lynne Daly |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 9300 E Raintree Dr Ste 130, Scottsdale, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295233997
- Provider Enumeration Date: 01/28/2018
- Last Update Date: 11/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183971377
- Enrollment ID: I20180718004051
Medical Identifiers
Medical identifiers for Jennelle Lynne Daly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295233997 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 7105 (Arizona) | Secondary |
363AM0700X | Physician Assistant - Medical | 7105 (Arizona) | Secondary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 7105 (Arizona) | Secondary |
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. Jennelle Lynne Daly 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 |
Jennelle Lynne Daly, PA-C 4842 E Emile Zola Ave, Scottsdale, AZ 85254-3518 Ph: (561) 672-9209 | Jennelle Lynne Daly, PA-C 9300 E Raintree Dr Ste 130, Scottsdale, AZ 85260-7313 Ph: (602) 677-4312 |
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