| Ms Jessica Prudencio, PMHNP-BC | |
|
506 Stewart Ave, Garden City, NY 11530-4706 | |
| (516) 705-3400 | |
| Not Available |
| Full Name | Ms Jessica Prudencio |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 506 Stewart Ave, Garden City, New York |
| 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 |
|---|---|---|---|
| 1215749486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F406381-01 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Medical Center | Rockville centre, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Center | 4082518006 | 83 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619245610 PECOS PAC ID: 4082518006 Enrollment ID: O20040210000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Prudencio, PMHNP-BC 506 Stewart Ave, Garden City, NY 11530-4706 Ph: (516) 728-0333 | Ms Jessica Prudencio, PMHNP-BC 506 Stewart Ave, Garden City, NY 11530-4706 Ph: (516) 705-3400 |
Kim Boral, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 Stewart Ave, Garden City, NY 11530 Phone: 516-222-8600 |
Jennifer Booth, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 229 7th St Ste 105, Garden City, NY 11530 Phone: 212-283-3000 |
Nisha Pradeep, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Old Country Rd Ste 315, Garden City, NY 11530 Phone: 516-424-8387 |
Natalie Rose Lagares, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Garden City Plz Ste 100, Garden City, NY 11530 Phone: 516-663-6400 |
Kathleen Mary Lynch, MS APRN BC NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 Lee Rd, Garden City, NY 11530 Phone: 516-294-3454 |
Maria C Banvard, DNP, NP, MSN, BSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Franklin Ave Lowr Level, Garden City, NY 11530 Phone: 516-663-2367 |
Kristin Rochford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Old Country Rd Rm 1w, Garden City, NY 11530 Phone: 180-023-4332 |