JACLYN TERESCO PA
NPI 1023447752
Physician Assistant - Medical in Glen Cove, NY

Active since November 04, 2013PECOS Enrolled
104 FOREST AVE, GLEN COVE, NY 11542(516) 759-5406 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaclyn Teresco Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN TERESCO PA (NPI 1023447752) is an individual medical provider in Glen Cove, New York, licensed in New York (017062) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated November 4, 2013.

NPPES Registry Identity

NPI1023447752
Entity TypeIndividualFemale
Provider Legal NameJACLYN TERESCOCredential: PA
Location Address104 FOREST AVEGlen Cove, NY 11542-2015
Mailing Address104 Forest AveGlen Cove, NY 11542-2015 · (516) 759-5406
Sole ProprietorYes
Enumeration DateNovember 4, 2013
NPI 1023447752 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physician Assistant · Medical

Taxonomy 363AM0700X · Physician Assistants & Advanced Practice Nursing Providers

Licensed in NY · 017062
104 FOREST AVE, Glen Cove, NY 11542

Medicare Participation & PECOS Enrollment Status

Jaclyn Teresco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    5 DME suppliers used 25 Medicare Claims 55 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    5 DME suppliers used 11 Medicare Claims 14 Services Paid

Reviews for JACLYN TERESCO PA

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

General Practice
104 FOREST AVE
GLEN COVE, NY 11542
Family Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Internal Medicine
104 FOREST AVE
GLEN COVE, NY 11542
Clinic/Center (Urgent Care)
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542
Physician Assistant (Medical)
104 FOREST AVE
GLEN COVE, NY 11542

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023447752, enumerated as an "individual" on November 04, 2013.

The provider is located at 104 FOREST AVE GLEN COVE, NY 11542 and the phone number is (516) 759-5406.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.