Jacque Ciarlo, DO - Medicare Emergency Medicine in New York, NY

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Jacque Ciarlo, DO is a medicare enrolled "Emergency Medicine" physician in New York, New York. Her current practice location is 205 E 95th St, Apartment 25 C, New York, New York. You can reach out to her office (for appointments etc.) via phone at (203) 565-9361.

Jacque Ciarlo is licensed to practice in Connecticut (license number 054026) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255622759.

Contact Information

Jacque Ciarlo, DO
205 E 95th St, Apartment 25 C,
New York, NY 10128-4014
(203) 565-9361
Not Available

Map and Direction




Physician's Profile

Full NameJacque Ciarlo
GenderFemale
SpecialityEmergency Medicine
Location205 E 95th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255622759
  • Provider Enumeration Date: 05/02/2011
  • Last Update Date: 09/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7911177365
  • Enrollment ID: I20151001000687

Medical Identifiers

Medical identifiers for Jacque Ciarlo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255622759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine N9441 (Texas)Secondary
207P00000XEmergency Medicine 054026 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacque Ciarlo allows following entities to bill medicare on her behalf.
Entity NameThe Hospital Of Connecticut At New Britain And Bradley Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461481
PECOS PAC ID: 6507776564
Enrollment ID: O20040115000497
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameUsacs Of Connecticut, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285713099
PECOS PAC ID: 9638179880
Enrollment ID: O20070111000383
Entity NameNortheast Emergency Medicine Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982889598
PECOS PAC ID: 8729157797
Enrollment ID: O20080516000028
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538
Entity NameEmergency Physicians Of Connecticut Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902278906
PECOS PAC ID: 8820390214
Enrollment ID: O20151231000158
Entity NameNems Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114482882
PECOS PAC ID: 2466792833
Enrollment ID: O20190321000650

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. Jacque Ciarlo 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 AddressPractice Location Address
Jacque Ciarlo, DO
205 E 95th St, Apartment 25 C,
New York, NY 10128-4014

Ph: (203) 565-9361		Jacque Ciarlo, DO
205 E 95th St, Apartment 25 C,
New York, NY 10128-4014

Ph: (203) 565-9361

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.