Jessica Daniels, Md, Pllc | |
21 Mohawk Trail Pmb 270 Greenfield MA 01301 | |
(413) 430-6011 | |
(413) 345-6951 |
Full Name | Jessica Daniels, Md, Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 21 Mohawk Trail Pmb 270, Greenfield, Massachusetts |
Authorized Official Name and Position | Jessica Daniels (OWNER) |
Authorized Official Contact | 4134306011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jessica Daniels, Md, Pllc 66 North St Hatfield MA 01038-9748 Ph: (646) 483-8342 | Jessica Daniels, Md, Pllc 21 Mohawk Trail Pmb 270 Greenfield MA 01301 Ph: (413) 430-6011 |
NPI Number | 1659031425 |
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Provider Enumeration Date | 12/21/2021 |
Last Update Date | 12/21/2021 |
Certification Date | 12/21/2021 |
Medicare PECOS PAC ID | 6800280728 |
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Medicare Enrollment ID | O20220218000620 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659031425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jessica E Daniels |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134271133 PECOS PAC ID: 8628149986 Enrollment ID: I20201211001709 |
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