Jessica Divanno, CRNP | |
43 Jo Mar Dr, Sandy Hook, CT 06482-1210 | |
(203) 240-8757 | |
(203) 240-8757 |
Full Name | Jessica Divanno |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 43 Jo Mar Dr, Sandy Hook, 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 |
---|---|---|---|
1477083996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | SP017375 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Medical Consultation Group | 6406755081 | 100 |
Entity Name | Memorial Medical Consultation Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372 |
Mailing Address | Practice Location Address |
---|---|
Jessica Divanno, CRNP 43 Jo Mar Dr, Sandy Hook, CT 06482-1210 Ph: (203) 240-8757 | Jessica Divanno, CRNP 43 Jo Mar Dr, Sandy Hook, CT 06482-1210 Ph: (203) 240-8757 |
John M. Lujanac, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Church Hill Rd, Sandy Hook, CT 06482 Phone: 203-257-3130 Fax: 877-529-2920 | |
Ms. Ann M Rhodes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Still Hill Rd, Sandy Hook, CT 06482 Phone: 845-641-7277 Fax: 845-641-7277 | |
Noel Werle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Glen Rd, 4th Floor, Sandy Hook, CT 06482 Phone: 203-304-9502 | |
Cara Jean Cacciabaudo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Toddy Hill Rd, Sandy Hook, CT 06482 Phone: 845-797-5390 |