Mrs Jennifer C Dacus, PAC is a
Physician Assistant based in Dukedom, Tennessee. Mrs Jennifer C Dacus is licensed to practice in Tennessee (license number 1291) and her current practice location is
446 Mayo Rd, Dukedom, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 694-3631.
NPI number for Mrs Jennifer C Dacus is 1881812535 and her current mailing address is 446 Mayo Rd, Dukedom, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881812535.
Provider's Profile
| Full Name | Mrs Jennifer C Dacus |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 446 Mayo Rd, Dukedom, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881812535
- Provider Enumeration Date: 04/20/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Jennifer C Dacus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881812535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1291 (Tennessee) | Primary |
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. Mrs Jennifer C Dacus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jennifer C Dacus, PAC
446 Mayo Rd,
Dukedom, TN 38226-3421
Ph: (731) 694-3631 | Mrs Jennifer C Dacus, PAC
446 Mayo Rd,
Dukedom, TN 38226-3421
Ph: (731) 694-3631 |
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