Jessica Bacci, CPNP-PC | |
458 S 12th St, Lindenhurst, NY 11757-4520 | |
(516) 661-4954 | |
Not Available |
Full Name | Jessica Bacci |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 458 S 12th St, Lindenhurst, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316369903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WS0200X | Registered Nurse - School | 668606-1 (New York) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 202223706 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Jessica Bacci, CPNP-PC 458 S 12th St, Lindenhurst, NY 11757-4520 Ph: (516) 661-4954 | Jessica Bacci, CPNP-PC 458 S 12th St, Lindenhurst, NY 11757-4520 Ph: (516) 661-4954 |
Dominique Dorothy Rossi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy Ste A, Lindenhurst, NY 11757 Phone: 631-429-3673 | |
Safiyah A Ishmael, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 East Sunrise Highway, Lindenhurst, NY 11757 Phone: 631-992-6437 | |
Alicia Gatti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy, Lindenhurst, NY 11757 Phone: 516-658-7564 | |
Miss Robyn Josephine Becker, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 578 N Wellwood Ave, Lindenhurst, NY 11757 Phone: 631-786-0753 | |
Kelsey Raffaela Koetzner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N Wellwood Ave Ste 3, Lindenhurst, NY 11757 Phone: 631-226-4342 | |
Meagan M Sullivan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Route 109 Ste A, Lindenhurst, NY 11757 Phone: 631-991-3235 Fax: 631-397-0919 | |
Mrs. Maria Nikolaidou, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 567 N Clinton Ave, Lindenhurst, NY 11757 Phone: 631-592-8184 |