COURTNEY L DAGGETT PA-C - NPI 1740516301 - Physician Assistant in Skowhegan, ME

Q: What is Courtney Daggett's NPI number?

The NPI number for Courtney Daggett is 1740516301. It was assigned to this individual provider in the NPPES registry on November 2, 2009. The provider is also known as Courtney L Theriault Pa-C.

Q: What is Courtney Daggett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Daggett was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Courtney L Daggett Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY L DAGGETT PA-C (NPI 1740516301) is an individual medical provider in Skowhegan, Maine, licensed in Maine (PA1192) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740516301

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCOURTNEY L DAGGETTCredential: PA-C

Location Address46 FAIRVIEW AVE STE 111Skowhegan, ME 04976-1481

Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 858-8353 · Fax (207) 474-9261

Phone(207) 474-3320

Fax(207) 474-5067

Sole ProprietorNo

Enumeration DateNovember 2, 2009

Last NPPES UpdateDecember 8, 20215 updates tracked since enumeration

NPPES CertifiedDecember 8, 2021

✔ NPI 1740516301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ME · PA1192

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1192 (ME)

46 FAIRVIEW AVE STE 111, Skowhegan, ME 04976

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Other Names 1

Former Name (1)Courtney L Theriault Pa-c

Other Identifiers 1

Medicaid1740516301ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney L Daggett Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$18.60 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$104.60 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OTO PROKOP M.D.

Internal Medicine