Jaclyn Suzanne Porco, | |
5 Perryridge Rd, Greenwich, CT 06830-4608 | |
(212) 746-2959 | |
Not Available |
Full Name | Jaclyn Suzanne Porco |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 5 Perryridge Rd, Greenwich, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043645161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 556384 (New York) | Secondary |
163W00000X | Registered Nurse | 123873 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greenwich Hospital Association - | Greenwich, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenwich Anesthesiology Associates Pc | 2163315425 | 40 |
Entity Name | Greenwich Anesthesiology Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972557486 PECOS PAC ID: 2163315425 Enrollment ID: O20040203000088 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Suzanne Porco, 17 Country Ridge Dr, Rye Brook, NY 10573-7043 Ph: (619) 929-7324 | Jaclyn Suzanne Porco, 5 Perryridge Rd, Greenwich, CT 06830-4608 Ph: (212) 746-2959 |
Jessica Dennison, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 500 W Putnam Ave, Greenwich, CT 06830 Phone: 203-863-3316 | |
Kristen B Burleson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1391 King St, Greenwich, CT 06831 Phone: 203-246-8411 | |
Brenda Sambrano Cataylo, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Melrose Ave Ste 206, Greenwich, CT 06830 Phone: 347-578-0196 | |
Ms. Cassandra Krizia Mae Lumucso Zapanta, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 Melrose Ave Ste 206, Greenwich, CT 06830 Phone: 860-897-6235 | |
Melissa Giraldez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Perryridge Rd, Greenwich, CT 06830 Phone: 203-863-3510 | |
Sandra Morano, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 78 Bruce Park Ave, Greenwich, CT 06830 Phone: 203-391-8821 |