Jessica A Calderon, PA-C is a medicare enrolled "Physician Assistant" in Bohemia, New York. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Shore-lij Medical Pc and her current practice location is
4875 Sunrise Hwy Ste 302, Bohemia, New York. You can reach out to her office (for appointments etc.) via phone at
(631) 343-4184.
Jessica A Calderon is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114628443.
Provider's Profile
| Full Name | Jessica A Calderon |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 4875 Sunrise Hwy Ste 302, Bohemia, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica A Calderon graduated from nursing school in 2023
NPI Data:
- NPI Number: 1114628443
- Provider Enumeration Date: 03/14/2023
- Last Update Date: 06/17/2026
Medicare PECOS Information:
- PECOS PAC ID: 5294189072
- Enrollment ID: I20230927002908
Medical Identifiers
Medical identifiers for Jessica A Calderon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114628443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore-lij Medical Pc | 3375701568 | 6327 |
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. Jessica A Calderon 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 Address | Practice Location Address |
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Jessica A Calderon, PA-C
740 Main Rd,
Riverhead, NY 11901-5723
Ph: () - | Jessica A Calderon, PA-C
4875 Sunrise Hwy Ste 302,
Bohemia, NY 11716-4630
Ph: (631) 343-4184 |
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