Jacqueline Rose Tomko, NP RNC MSN is a medicare enrolled "Nurse Practitioner - Women's Health" physician in Cortland, New York. Her current practice location is
11 Alvena Ave, Suite 101, Cortland, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 753-7578.
Jacqueline Rose Tomko is licensed to practice in New York (license number F3602031) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467535898.
Physician's Profile
Full Name | Jacqueline Rose Tomko |
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Gender | Female |
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Speciality | Nurse Practitioner - Women's Health |
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Location | 11 Alvena Ave, Cortland, New York |
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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: 1467535898
- Provider Enumeration Date: 10/21/2006
- Last Update Date: 03/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 7214169432
- Enrollment ID: I20140422000971
Medical Identifiers
Medical identifiers for Jacqueline Rose Tomko such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467535898 | NPI | - | NPPES |
02794778 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | F3602031 (New York) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | F3602031 (New York) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | F3602031 (New York) | Primary |
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. Jacqueline Rose Tomko 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 |
Jacqueline Rose Tomko, NP RNC MSN 11 Alvena Ave, Suite 101, Cortland, NY 13045 Ph: (607) 753-7578 | Jacqueline Rose Tomko, NP RNC MSN 11 Alvena Ave, Suite 101, Cortland, NY 13045 Ph: (607) 753-7578 |
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