Jessica Decourcey, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

024100 Issued in NY

Practice address

3 Curtis Rd
Vernon, NY 13476-3607

Phone

(315) 829-2220

Fax

(315) 829-3955

NPI assigned

May 1, 2019

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jessica Gallagher Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jgallagher@ohc.medentdirect.com
• Direct secure messaging: jgallagher@trivalleyfamilypractice.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oneida Medical Practice, PC

  • Multi-Specialty Clinic/Center
  • Oneida, NY
  • NPI 1932398997
  Medicare reassignment NPD
• Oneida Health Systems, Inc

  dba Oneida Healthcare Center

  • General Acute Care Hospital
  • Oneida, NY
  • NPI 1962408203
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1609431006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CURTIS RD",
            "city": "VERNON",
            "state": "NY",
            "postal_code": "134763607",
            "telephone_number": "315-829-2220",
            "fax_number": "315-829-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOURCEY",
        "first_name": "JESSICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921779",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GALLAGHER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bush Chiropractic, PLLC
• Darrack L Bush, D.C.
• William S Cooley Jr., MD
• Jennifer Devenezia, R.PH.
• Lynne Marie Digennaro, MD
• Tanya M Enigk, LCSW-R
• Patricia Mae Geglia
• Sarah Rose Hayes

• Medical Physician Assistant in Vernon, NY
• Providers in Vernon, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.