Dr Danielle L Dively, PSY D is a medicare enrolled "Psychologist - Clinical" provider in Roaring Spring, Pennsylvania. Her current practice location is
7564 Woodbury Pike, Roaring Spring, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 729-7316.
Dr Danielle L Dively is licensed to practice in Pennsylvania (license number PS016634) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013155027.
Healthcare Provider's Profile
| Full Name | Dr Danielle L Dively |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 7564 Woodbury Pike, Roaring Spring, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Danielle L Dively attended and graduated from in
NPI Data:
- NPI Number: 1013155027
- Provider Enumeration Date: 01/29/2009
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Danielle L Dively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013155027 | NPI | - | NPPES |
| 1023128880002 | Medicaid | PA | |
| 1023128880003 | Medicaid | PA | |
| 002106964 | Other | PA | HIGHMARK BLUE CROSS BLUE SHIELD |
| 000000285381 | Other | PA | UNISON |
| 102312888 | Medicaid | PA | |
| 164856RGD | Other | PA | MEDICARE |
| 1023128880004 | Medicaid | PA | |
| 1007708200003 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS016634 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016634PA (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS016634 (Pennsylvania) | 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. Dr Danielle L Dively 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 |
|---|
Dr Danielle L Dively, PSY D
7564 Woodbury Pike (po Box 155),
Roaring Spring, PA 16673
Ph: (814) 729-7316 | Dr Danielle L Dively, PSY D
7564 Woodbury Pike,
Roaring Spring, PA 16673
Ph: (814) 729-7316 |
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