Dr Daniel Flack, PHD, JD is a medicare enrolled "Psychologist - Clinical" provider in Moodus, Connecticut. His current practice location is
Po Box 10, Moodus, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 208-8641.
Dr Daniel Flack is licensed to practice in Connecticut (license number 4619) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184305534.
Healthcare Provider's Profile
Full Name | Dr Daniel Flack |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | Po Box 10, Moodus, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184305534
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658725361
- Enrollment ID: I20230929000499
Medical Identifiers
Medical identifiers for Dr Daniel Flack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184305534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 4619 (Connecticut) | Primary |
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. Dr Daniel Flack allows following entities to bill medicare on his behalf.
Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
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Entity Name | Hartford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
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Entity Name | Natchaug Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008 |
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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. Dr Daniel Flack 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 |
Dr Daniel Flack, PHD, JD 29 Wickham Rd, East Haddam, CT 06423-1204 Ph: () - | Dr Daniel Flack, PHD, JD Po Box 10, Moodus, CT 06469-0010 Ph: (203) 208-8641 |
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