Jaclyn Blaire Daugherty, CRNP-PMH in Frederick, MD

Jaclyn Blaire Daugherty, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Frederick, Maryland. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Way Station Inc and her current practice location is 604 Solarex Ct Unit 201, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 663-8263.

Jaclyn Blaire Daugherty is licensed to practice in Maryland (license number R204851) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477197424.

Contact Information

	Jaclyn Blaire Daugherty, CRNP-PMH
	604 Solarex Ct Unit 201, Frederick, MD 21703-8655
	(301) 663-8263
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclyn Blaire Daugherty
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	604 Solarex Ct Unit 201, Frederick, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jaclyn Blaire Daugherty graduated from nursing school in 2019

NPI Data:

NPI Number: 1477197424
Provider Enumeration Date: 11/03/2019
Last Update Date: 03/04/2020

Medicare PECOS Information:

PECOS PAC ID: 5294164984
Enrollment ID: I20200331003533

Medical Identifiers

Medical identifiers for Jaclyn Blaire Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477197424	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R204851 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Way Station Inc	8628064151	25

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Blaire Daugherty allows following entities to bill medicare on her behalf.

Entity Name	Sheppard Pratt Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737

Entity Name	Way Station Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136

Entity Name	Mosaic Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385

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 Blaire Daugherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jaclyn Blaire Daugherty, CRNP-PMH 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 Ph: (301) 663-8263	Jaclyn Blaire Daugherty, CRNP-PMH 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 Ph: (301) 663-8263

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Kari Pratt, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 87 Thomas Johnson Dr, Ste 101, Frederick, MD 21702 Phone: 301-694-0606 Fax: 301-662-6928
Linda A Cann, MSN,APRN,FNP,PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 226 S Jefferson St, Frederick, MD 21701 Phone: 301-663-6135 Fax: 301-663-5738
Regine Josie, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1026 Bexhill Dr, Frederick, MD 21702 Phone: 321-482-4933

Jaclyn Blaire Daugherty, CRNP-PMH - Medicare Nurse Practitioner in Frederick, MD