Jaclyn Marie Davis, MA/CAS is a
Psychologist - School based in Homer, New York. Jaclyn Marie Davis is licensed to practice in New York (license number 965888151) and her current practice location is
9 Central Park Place, Homer, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 749-1250.
NPI number for Jaclyn Marie Davis is 1366190829 and her current mailing address is 453 Surrey Dr, Cortland, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366190829.
Healthcare Provider's Profile
Full Name | Jaclyn Marie Davis |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 9 Central Park Place, Homer, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366190829
- Provider Enumeration Date: 03/14/2022
- Last Update Date: 03/14/2022
Medical Identifiers
Medical identifiers for Jaclyn Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366190829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (New York) | Secondary |
103TS0200X | Psychologist - School | 965888151 (New York) | 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. Jaclyn Marie Davis 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 |
Jaclyn Marie Davis, MA/CAS 453 Surrey Dr, Cortland, NY 13045-9378 Ph: (607) 342-4378 | Jaclyn Marie Davis, MA/CAS 9 Central Park Place, Homer, NY 13077 Ph: (607) 749-1250 |
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