| Elsie Dieguez-jackson, NP | |
|
3300 Main St Fl 4, Springfield, MA 01107-1112 | |
| (413) 794-5555 | |
| (413) 794-7140 |
| Full Name | Elsie Dieguez-jackson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 3300 Main St Fl 4, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427627181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN188728 (Massachusetts) | Primary |
| Entity Name | Clinical & Support Options, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
| Entity Name | Lifepoint Behavioral Health Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851075378 PECOS PAC ID: 7012370489 Enrollment ID: O20230831004767 |
| Mailing Address | Practice Location Address |
|---|---|
| Elsie Dieguez-jackson, NP 280 Chestnut St Fl 2, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Elsie Dieguez-jackson, NP 3300 Main St Fl 4, Springfield, MA 01107-1112 Ph: (413) 794-5555 |
Jalil Abdul Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 High St, Springfield, MA 01105 Phone: 413-794-2511 Fax: 413-794-8428 | |
Ashley Marie Graveline, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Stafford St, Springfield, MA 01104 Phone: 413-748-7095 | |
Cameron Michael Card, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 Carew St, Springfield, MA 01104 Phone: 413-787-2051 | |
Dr. Valerie Lorraine Zavalunov, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 50 Maple St, Springfield, MA 01103 Phone: 413-748-6484 | |
Ms. Margaret Schoenemann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Monarch Pl Fl 10, Accountable Care Practice Services, Springfield, MA 01144 Phone: 413-734-2000 Fax: 413-734-8000 | |
Joanne Jackson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3300 Main St, 2nd Floor, Suite A, Springfield, MA 01107 Phone: 413-794-2273 Fax: 413-794-0198 | |
Cassandra Nava, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 417 Liberty St, Springfield, MA 01104 Phone: 774-551-6602 |