| Jessica Elise Peccerelli, | |
|
400 S Orange Ave, South Orange, NJ 07079-2646 | |
| (973) 761-9000 | |
| Not Available |
| Full Name | Jessica Elise Peccerelli |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 400 S Orange Ave, South Orange, New Jersey |
| 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 |
|---|---|---|---|
| 1316642770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406543 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc | 5395634539 | 5 |
| Entity Name | Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821466525 PECOS PAC ID: 5395634539 Enrollment ID: O20040315000368 |
| Entity Name | Medagent Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245301928 PECOS PAC ID: 4789900796 Enrollment ID: O20150311000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Elise Peccerelli, 37 Adela Ct, Yorktown Heights, NY 10598-2505 Ph: Not Available | Jessica Elise Peccerelli, 400 S Orange Ave, South Orange, NJ 07079-2646 Ph: (973) 761-9000 |
Oneka Edwards, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079 Phone: 973-313-1113 |
Samantha R Minott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Valley St Ste 320, South Orange, NJ 07079 Phone: 973-313-1113 |
Mrs. Teresa M Conklin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-9175 |
Mr. Daniel Robert Fawcett, NP STUDENT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-9000 |
Ms. Natasha N Ashton, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 418 Academy St, South Orange, NJ 07079 Phone: 201-259-1470 Fax: 973-761-7012 |
Kemoy Fong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 S Orange Ave, South Orange, NJ 07079 Phone: 973-761-6111 Fax: 973-761-6111 |
Ms. Mary Elizabeth Costello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 South Orange Avenue, Seton Hall University Health Services, South Orange, NJ 07079 Phone: 973-761-9175 Fax: 973-761-9193 |