| Emily Ackerman Md Inc A Medical Corporation | |
|
801 Seneca St Ventura CA 93001-1411 | |
| (626) 977-0497 | |
| Not Available |
| Full Name | Emily Ackerman Md Inc A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 801 Seneca St, Ventura, California |
| Authorized Official Name and Position | Emily Katherine Ackerman (MD, SOLE OWNER) |
| Authorized Official Contact | 6269770497 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Ackerman Md Inc A Medical Corporation Po Box 1770 La Mesa CA 91944-1770 Ph: (626) 977-0497 | Emily Ackerman Md Inc A Medical Corporation 801 Seneca St Ventura CA 93001-1411 Ph: (626) 977-0497 |
| NPI Number | 1588459994 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/14/2025 |
| Medicare PECOS PAC ID | 3678091592 |
|---|---|
| Medicare Enrollment ID | O20250514003772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588459994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emily Katherine Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861887945 PECOS PAC ID: 3274963046 Enrollment ID: I20210802002782 |
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