Krystyna De Jacq, NP - Nurse Practitioner in Mamaroneck, NY

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Krystyna De Jacq, NP is a Nurse Practitioner - Psychiatric/mental Health physician based in Mamaroneck, New York. Krystyna De Jacq is licensed to practice in New York (license number 401238) and her current practice location is 709 Palmer Ct Apt 2e, Mamaroneck, New York. She can be reached at her office (for appointments etc.) via phone at (917) 513-0273.

NPI number for Krystyna De Jacq is 1568790152 and her current mailing address is 709 Palmer Ct Apt 2e, Mamaroneck, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568790152.

Contact Information

Krystyna De Jacq, NP
709 Palmer Ct Apt 2e,
Mamaroneck, NY 10543-2442
(917) 513-0273
Not Available

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Physician's Profile

Full NameKrystyna De Jacq
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location709 Palmer Ct Apt 2e, Mamaroneck, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568790152
  • Provider Enumeration Date: 11/20/2009
  • Last Update Date: 04/13/2023

Medical Identifiers

Medical identifiers for Krystyna De Jacq such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568790152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 401238 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 401238 (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. Krystyna De Jacq is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krystyna De Jacq, NP
709 Palmer Ct Apt 2e,
Mamaroneck, NY 10543-2442

Ph: (917) 513-0273		Krystyna De Jacq, NP
709 Palmer Ct Apt 2e,
Mamaroneck, NY 10543-2442

Ph: (917) 513-0273

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.