| Jessica Bacci, CPNP-PC | |
|
458 S 12th St, Lindenhurst, NY 11757-4520 | |
| (516) 661-4954 | |
| Not Available |
| Full Name | Jessica Bacci |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 458 S 12th St, Lindenhurst, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316369903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WS0200X | Registered Nurse - School | 668606-1 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 202223706 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Bacci, CPNP-PC 458 S 12th St, Lindenhurst, NY 11757-4520 Ph: (516) 661-4954 | Jessica Bacci, CPNP-PC 458 S 12th St, Lindenhurst, NY 11757-4520 Ph: (516) 661-4954 |
Dominique Dorothy Rossi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy Ste A, Lindenhurst, NY 11757 Phone: 631-429-3673 | |
Alicia Gatti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 290 Sunrise Hwy, Lindenhurst, NY 11757 Phone: 516-658-7564 | |
Miss Robyn Josephine Becker, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 578 N Wellwood Ave, Lindenhurst, NY 11757 Phone: 631-786-0753 | |
Kelsey Raffaela Koetzner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N Wellwood Ave Ste 3, Lindenhurst, NY 11757 Phone: 631-226-4342 | |
Meagan M Sullivan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 910 Route 109 Ste A, Lindenhurst, NY 11757 Phone: 631-991-3235 Fax: 631-397-0919 | |
Mrs. Maria Nikolaidou, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 567 N Clinton Ave, Lindenhurst, NY 11757 Phone: 631-592-8184 | |
Mrs. Joyce Olufunke Adedugbe, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 E Sunrise Highway, Suite L20, Lindenhurst, NY 11757 Phone: 631-608-2878 Fax: 631-608-2879 |