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Jacqueline Alleva

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

110 South Bedford Rd, Mount Kisco, NY 10595-3412

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Alleva is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1619326352
Provider Type
Individual
Full Name
Alleva, Jacqueline
Title
Mrs.
Credential
FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/3/2016
Last Updated
6/24/2024

Contact Information

Practice Location

110 South Bedford Rd, Mount Kisco, NY 10595-3412

(914) 241-1050

Unlisted Fax

Mailing Location

1601 Pondcrest Ln, White Plains, NY 10607-1355

(845) 216-5469

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F339442-1 New York
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 339442 New York

Jacqueline Alleva

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Wynne, Mary G

Haro, Kary L

Floriant, Franceska

Tejada, Delilah C

Magliulo, Lisa Megan

Skrypack, Susan

Miele, Virginia

Cunningham, Christine L

Kimble, Kelsey Ruth

Mclernon, Aine Maire