| Dr Edward H Jaccoma, MD | |
|
87 Grandview Ave Ste A, Waterbury, CT 06708-2523 | |
| (203) 574-2020 | |
| (203) 596-2230 |
| Full Name | Dr Edward H Jaccoma |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 43 Years |
| Location | 87 Grandview Ave Ste A, Waterbury, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982681367 | NPI | - | NPPES |
| 134050099 | Medicaid | ME | |
| 1982681367 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 56003 (Connecticut) | Secondary |
| 207W00000X | Ophthalmology | 011998 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Corneal Consultants Pa | 2860396124 | 3 |
| Bay State Excellent Vision | 9133353824 | 3 |
| Entity Name | Northeast Corneal Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699714329 PECOS PAC ID: 2860396124 Enrollment ID: O20040302000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward H Jaccoma, MD 87 Grandview Ave Ste A, Waterbury, CT 06708-2523 Ph: (203) 574-2020 | Dr Edward H Jaccoma, MD 87 Grandview Ave Ste A, Waterbury, CT 06708-2523 Ph: (203) 574-2020 |
Effy Amondy Ojuok, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 87 Grandview Ave Ste B, Waterbury, CT 06708 Phone: 203-574-2020 | |
Glen K Goodman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 87 Grandview Ave, Waterbury, CT 06708 Phone: 203-574-2020 | |
Dr. Angela Lynn Bosjolie, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Main St Ste 100, Waterbury, CT 06708 Phone: 203-597-9100 | |
Dr. Stephanie L. Sugin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Main St, Suite 100, Waterbury, CT 06708 Phone: 203-597-9100 Fax: 203-596-4758 | |
Karen S Nipper, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 87 Grandview Ave, Waterbury, CT 06708 Phone: 203-574-2020 | |
Dr. Robert L. Lesser, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 1201 West Main Street, Suite 100, Waterbury, CT 06708 Phone: 203-597-9100 Fax: 203-596-4758 | |
Dr. Cinthia Guzman Covey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Main St, Waterbury, CT 06708 Phone: 203-597-9100 Fax: 203-595-4758 |