| Jacquelin S Daniel, CNP | |
|
1508 K-v Road, Victoria, VA 23974 | |
| (434) 696-2165 | |
| (434) 696-1577 |
| Full Name | Jacquelin S Daniel |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 1508 K-v Road, Victoria, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083619563 | NPI | - | NPPES |
| 7000967 | Other | VA | NC MEDICAID |
| 187699 | Other | VA | MEDCOST CC |
| 187620 | Other | VA | MEDCOST |
| 010025788 | Medicaid | VA | |
| 010252881 | Medicaid | VA | |
| 010025788 | Other | VA | VA PREMIER KB |
| 010105510 | Other | VA | VA PREMIER |
| 187697 | Other | VA | MEDCOST KB |
| 224189800 | Other | VA | DOL |
| 010105510 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0024164095 (Virginia) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 0024164095 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1580 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Entity Name | Vernon J Harris East End Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295707966 PECOS PAC ID: 9638064850 Enrollment ID: O20040217000877 |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelin S Daniel, CNP 1508 K-v Road, Victoria, VA 23974 Ph: (434) 696-2165 | Jacquelin S Daniel, CNP 1508 K-v Road, Victoria, VA 23974 Ph: (434) 696-2165 |
Elizabeth Ruth Zirkle, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 | |
Mary M Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 Fax: 434-696-1557 | |
Mrs. Kristin Noel Jones, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-321-9987 | |
Elizabeth Buchanan, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1508 K V Rd, Victoria, VA 23974 Phone: 434-696-2165 |