Jacqueline Nicole Perez, PA in Avon, CT

Jacqueline Nicole Perez, PA is a medicare enrolled "Physician Assistant" in Avon, Connecticut. Her current practice location is 385 W Main St, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 777-1280.

Jacqueline Nicole Perez is licensed to practice in Connecticut (license number 4631) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407108558.

Contact Information

	Jacqueline Nicole Perez, PA
	385 W Main St, Avon, CT 06001-4357
	(860) 777-1280
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Nicole Perez
Gender	Female
Speciality
Experience	Years
Location	385 W Main St, Avon, 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.

Medical Education and Training:

Jacqueline Nicole Perez attended and graduated from in

NPI Data:

NPI Number: 1407108558
Provider Enumeration Date: 10/12/2012
Last Update Date: 05/07/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Jacqueline Nicole Perez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407108558	NPI	-	NPPES
004613	Other	CT	CT LIC
007207500	Medicaid	FL
003128788A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	60363705 (Washington)	Secondary
363A00000X	Physician Assistant	PA9106924 (Florida)	Secondary
363A00000X	Physician Assistant	4631 (Connecticut)	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 Nicole Perez 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 Nicole Perez, PA Po Box 44008, Ufjax - Provider Enrollment, Jacksonville, FL 32231-4008 Ph: (904) 244-3199	Jacqueline Nicole Perez, PA 385 W Main St, Avon, CT 06001-4357 Ph: (860) 777-1280

Reviews and Comments

Physician Assistant Nurses in Avon, CT

Marley Jean Binkowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280
Anja Summers Panetta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 West Avon Road, Suite E, Avon, CT 06001 Phone: 860-674-9900 Fax: 860-678-0036
Mrs. Katherine B Bares, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8 Canal Ct, Avon, CT 06001 Phone: 860-674-9686 Fax: 860-674-9954
Rebecca Corridori, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 Fax: 860-777-1276
Daryl F De Villier Ii, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 Fax: 860-777-1276
Ms. Miriam Kristen Wiggins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-777-1280 Fax: 860-777-1276
Nam V Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 385 W Main St, Avon, CT 06001 Phone: 860-696-2150 Fax: 860-696-2160

Jacqueline Nicole Perez, PA - Medicare in Avon, CT