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

Q: What is Jaclyn Teresco's NPI number?

The NPI number for Jaclyn Teresco is 1023447752. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Q: What is Jaclyn Teresco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Teresco was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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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.

NPPES Registry Identity

NPI1023447752

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACLYN TERESCOCredential: PA

Location Address104 FOREST AVEGlen Cove, NY 11542-2015

Mailing Address104 Forest AveGlen Cove, NY 11542-2015 · (516) 759-5406

Phone(516) 759-5406

Sole ProprietorYes

Enumeration DateNovember 4, 2013

✔ NPI 1023447752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 017062

104 FOREST AVE, Glen Cove, NY 11542

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Teresco Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers25 claims55 services$6.29 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers11 claims14 services$1.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN KRAUSE

Physician Assistant (Medical)