| Daylight Psychiatric Center | |
|
3101 N Central Ave Ste 183 Phoenix AZ 85012-3616 | |
| (480) 252-3484 | |
| Not Available |
| Full Name | Daylight Psychiatric Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3101 N Central Ave Ste 183, Phoenix, Arizona |
| Authorized Official Name and Position | Marcus Ernest Konyi Kometa (DIRECTOR) |
| Authorized Official Contact | 4802523484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daylight Psychiatric Center 6811 W Pleasant Ln Laveen AZ 85339-2660 Ph: (480) 252-3484 | Daylight Psychiatric Center 3101 N Central Ave Ste 183 Phoenix AZ 85012-3616 Ph: (480) 252-3484 |
| NPI Number | 1689352866 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/21/2023 |
| Medicare PECOS PAC ID | 2769839620 |
|---|---|
| Medicare Enrollment ID | O20231114003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689352866 | NPI | - | NPPES |
| Provider Name | Marcus Konyi Kometa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003522954 PECOS PAC ID: 4688036692 Enrollment ID: I20230808002078 |
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