| Jacqueline Amato Md Pc | |
|
841 Alder Creek Dr Medford OR 97504-8900 | |
| (541) 858-7188 | |
| (541) 858-7186 |
| Full Name | Jacqueline Amato Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 841 Alder Creek Dr, Medford, Oregon |
| Authorized Official Name and Position | Debbie Jewell (OFFICE MANAGER) |
| Authorized Official Contact | 5418587188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Amato Md Pc 841 Alder Creek Dr Medford OR 97504-8900 Ph: (541) 858-7188 | Jacqueline Amato Md Pc 841 Alder Creek Dr Medford OR 97504-8900 Ph: (541) 858-7188 |
| NPI Number | 1215447008 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1355607276 |
|---|---|
| Medicare Enrollment ID | O20171109001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215447008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22816 (Oregon) | Primary |
| Provider Name | Jacqueline M Amato |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295707016 PECOS PAC ID: 6406843119 Enrollment ID: I20040426001740 |
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