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Danielle Jaye Dienhart

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1102 Barclay St, San Antonio, TX 78207-7161

PECOS Enrollment

This provider is enrolled in PECOS as DANIELLE DIENHART.

Based on the most recent information from CMS, provider Danielle Jaye Dienhart is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1366112138
Provider Type
Individual
Full Name
Dienhart, Danielle Jaye
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
9/14/2021
Last Updated
9/14/2021

Contact Information

Practice Location

1102 Barclay St, San Antonio, TX 78207-7161

(210) 843-4227

Unlisted Fax

Mailing Location

1723 Aspen Rdg, San Antonio, TX 78248-2112

(210) 843-4227

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1046877 Texas

Danielle Jaye Dienhart

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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