Ms Jacqueline Desiree Joseph, CRNP | |
116 N High St, Mount Vernon, NY 10550-1810 | |
(914) 699-2154 | |
Not Available |
Full Name | Ms Jacqueline Desiree Joseph |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 116 N High St, Mount Vernon, New York |
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 |
---|---|---|---|
1003056888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 5727171 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP024568 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Redco Group, Llc | 7911802228 | 10 |
Metro Family Practice, Inc. | 9032027727 | 11 |
Entity Name | Redco Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538145453 PECOS PAC ID: 7911802228 Enrollment ID: O20031201000295 |
Entity Name | Metro Family Practice, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740283845 PECOS PAC ID: 9032027727 Enrollment ID: O20050412001070 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Desiree Joseph, CRNP 564 Main St, Stroudsburg, PA 18360-2128 Ph: (570) 420-8070 | Ms Jacqueline Desiree Joseph, CRNP 116 N High St, Mount Vernon, NY 10550-1810 Ph: (914) 699-2154 |
Miss Amantha Theodore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552 Phone: 718-920-9000 | |
Mr. Daniel Yaw Boadu, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 W Prospect Ave, Mount Vernon, NY 10550 Phone: 347-419-4321 | |
Marlon Hylton, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Stevens Ave, Mount Vernon, NY 10550 Phone: 914-685-3131 Fax: 914-685-3141 | |
Fosua Agyenim Boateng, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550 Phone: 212-961-7299 | |
Mrs. Monica Esmenda Mccalla, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 Beechwood Ave, Ph, Mount Vernon, NY 10553 Phone: 914-664-2949 | |
Tahiesha Tolbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Stevens Ave Ste 4, Mount Vernon, NY 10550 Phone: 914-668-8080 | |
Michelle R Purville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 E 4th St, Mount Vernon, NY 10553 Phone: 321-298-5626 |