Connie Joy Daniel, EDD in Chattanooga, TN - Medicare Psychologist Provider

Connie Joy Daniel, EDD is a medicare enrolled "Psychologist - Clinical" provider in Chattanooga, Tennessee. Her current practice location is 6110 Shallowford Rd, C O Crc For Paradigm, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (800) 632-6074.

Connie Joy Daniel is licensed to practice in Tennessee (license number P0000002092) 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 1750488201.

Contact Information

	Connie Joy Daniel, EDD
	6110 Shallowford Rd, C O Crc For Paradigm, Chattanooga, TN 37421-1894
	(800) 632-6074
	(866) 341-7509

Map and Direction

Healthcare Provider's Profile

Full Name	Connie Joy Daniel
Gender	Female
Speciality	Psychologist - Clinical
Location	6110 Shallowford Rd, Chattanooga, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750488201
Provider Enumeration Date: 09/19/2006
Last Update Date: 02/13/2008

Medicare PECOS Information:

PECOS PAC ID: 0143295659
Enrollment ID: I20040828000211

Medical Identifiers

Medical identifiers for Connie Joy Daniel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750488201	NPI	-	NPPES
4090359	Other	TN	BCBS
P00242852	Other	TN	RAILROAD MEDICARE
3981313	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	P0000002092 (Tennessee)	Primary

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. Connie Joy Daniel allows following entities to bill medicare on her behalf.

Entity Name	Ipc Pac Healthcare Services Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541

Entity Name	Nv Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263

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. Connie Joy Daniel 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
Connie Joy Daniel, EDD 3205 Vera Valley Rd, Franklin, TN 37064 Ph: (615) 591-6507	Connie Joy Daniel, EDD 6110 Shallowford Rd, C O Crc For Paradigm, Chattanooga, TN 37421-1894 Ph: (800) 632-6074

Reviews and Comments

Psychologist in Chattanooga, TN

Todd Douglas Eaton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421 Phone: 800-632-6074 Fax: 866-341-7509
Mr. David John Caye, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1504a Mccallie Avenue, Chattanooga, TN 37404 Phone: 423-698-5000 Fax: 423-745-8868
Pooja Khariwal, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 101 Jordan Dr, Chattanooga, TN 37421 Phone: 423-510-1999 Fax: 423-510-1888
Amy Perkins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-756-2894
Susan A O'hara, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4066 Hixson Pike, Chattanooga, TN 37415 Phone: 423-870-5650 Fax: 423-870-5638
Mrs. Ann M. Ramey, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Ty Hi Dr, Chattanooga, TN 37421 Phone: 423-499-9535 Fax: 423-499-0335
Michelle Fast, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1360 Mackey Branch Dr, Chattanooga, TN 37421 Phone: 423-443-3336

Connie Joy Daniel, EDD - Medicare Psychologist in Chattanooga, TN