| Jessica Daniels, Md, Pllc | |
|
21 Mohawk Trail Pmb 270 Greenfield MA 01301 | |
| (413) 430-6011 | |
| (413) 345-6951 |
| Full Name | Jessica Daniels, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 21 Mohawk Trail Pmb 270, Greenfield, Massachusetts |
| Authorized Official Name and Position | Jessica Daniels (OWNER) |
| Authorized Official Contact | 4134306011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Daniels, Md, Pllc 66 North St Hatfield MA 01038-9748 Ph: (646) 483-8342 | Jessica Daniels, Md, Pllc 21 Mohawk Trail Pmb 270 Greenfield MA 01301 Ph: (413) 430-6011 |
| NPI Number | 1659031425 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Medicare PECOS PAC ID | 6800280728 |
|---|---|
| Medicare Enrollment ID | O20220218000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659031425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica E Daniels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134271133 PECOS PAC ID: 8628149986 Enrollment ID: I20201211001709 |
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