| Jessica Divanno, CRNP | |
|
43 Jo Mar Dr, Sandy Hook, CT 06482-1210 | |
| (203) 240-8757 | |
| (203) 240-8757 |
| Full Name | Jessica Divanno |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 43 Jo Mar Dr, Sandy Hook, Connecticut |
| 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 |
|---|---|---|---|
| 1477083996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | SP017375 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Endocrine Group | 3476444506 | 18 |
| Entity Name | Memorial Medical Consultation Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053382523 PECOS PAC ID: 6406755081 Enrollment ID: O20040102000372 |
| Entity Name | Memorial Solid Tumor Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699746172 PECOS PAC ID: 4082503354 Enrollment ID: O20040313000668 |
| Entity Name | Memorial Endocrine Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558332023 PECOS PAC ID: 3476444506 Enrollment ID: O20040320000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Divanno, CRNP 43 Jo Mar Dr, Sandy Hook, CT 06482-1210 Ph: (203) 240-8757 | Jessica Divanno, CRNP 43 Jo Mar Dr, Sandy Hook, CT 06482-1210 Ph: (203) 240-8757 |
John M. Lujanac, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Church Hill Rd, Sandy Hook, CT 06482 Phone: 203-257-3130 Fax: 877-529-2920 | |
Mrs. Heather Christine Gatesman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Berkshire Rd, Sandy Hook, CT 06482 Phone: 203-270-4335 Fax: 203-270-4338 | |
Ms. Ann M Rhodes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30 Still Hill Rd, Sandy Hook, CT 06482 Phone: 845-641-7277 Fax: 845-641-7277 | |
Noel Werle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27 Glen Rd, 4th Floor, Sandy Hook, CT 06482 Phone: 203-304-9502 | |
Cara Jean Cacciabaudo, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Toddy Hill Rd, Sandy Hook, CT 06482 Phone: 845-797-5390 |