| Connie Joy Daniel, EDD | |
|
6110 Shallowford Rd, C O Crc For Paradigm, Chattanooga, TN 37421-1894 | |
| (800) 632-6074 | |
| (866) 341-7509 |
| Full Name | Connie Joy Daniel |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 6110 Shallowford Rd, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750488201 | NPI | - | NPPES |
| 4090359 | Other | TN | BCBS |
| P00242852 | Other | TN | RAILROAD MEDICARE |
| 3981313 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P0000002092 (Tennessee) | Primary |
| Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
| Entity Name | Cs Pacs 3 Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154104958 PECOS PAC ID: 8426404302 Enrollment ID: O20231206003761 |
| Entity Name | Bh Services Southeast 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164251526 PECOS PAC ID: 7012457054 Enrollment ID: O20241023003002 |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Joy Daniel, EDD 3205 Vera Valley Rd, Franklin, TN 37064 Ph: (615) 591-6507 | Connie Joy Daniel, EDD 6110 Shallowford Rd, C O Crc For Paradigm, Chattanooga, TN 37421-1894 Ph: (800) 632-6074 |
Todd Douglas Eaton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6110 Shallowford Rd, C O Crc, Chattanooga, TN 37421 Phone: 800-632-6074 Fax: 866-341-7509 | |
Mr. David John Caye, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1504a Mccallie Avenue, Chattanooga, TN 37404 Phone: 423-698-5000 Fax: 423-745-8868 | |
Pooja Khariwal, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 101 Jordan Dr, Chattanooga, TN 37421 Phone: 423-510-1999 Fax: 423-510-1888 | |
Amy Perkins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Mccallie Ave, Chattanooga, TN 37404 Phone: 423-756-2894 | |
Susan A O'hara, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4066 Hixson Pike, Chattanooga, TN 37415 Phone: 423-870-5650 Fax: 423-870-5638 | |
Mrs. Ann M. Ramey, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Ty Hi Dr, Chattanooga, TN 37421 Phone: 423-499-9535 Fax: 423-499-0335 | |
Michelle Fast, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1360 Mackey Branch Dr, Chattanooga, TN 37421 Phone: 423-443-3336 |