Peter Joshua Dacosta, MD in Worcester, MA - Medicare Emergency Medicine

Peter Joshua Dacosta, MD is a medicare enrolled "Emergency Medicine" physician in Worcester, Massachusetts. His current practice location is 55 Lake Ave N, Worcester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 421-1400.

Peter Joshua Dacosta is licensed to practice in Massachusetts (license number 1018339) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295313823.

Contact Information

	Peter Joshua Dacosta, MD
	55 Lake Ave N, Worcester, MA 01655-0002
	(508) 421-1400
	(508) 421-1490

Map and Direction

Physician's Profile

Full Name	Peter Joshua Dacosta
Gender	Male
Speciality	Emergency Medicine
Location	55 Lake Ave N, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295313823
Provider Enumeration Date: 04/02/2021
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 3971907064
Enrollment ID: I20240416001821

Medical Identifiers

Medical identifiers for Peter Joshua Dacosta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295313823	NPI	-	NPPES
110174266A	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	1018339 (Massachusetts)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Peter Joshua Dacosta allows following entities to bill medicare on his behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Joshua Dacosta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Peter Joshua Dacosta, MD Po Box 415348, Boston, MA 02241-5348 Ph: () -	Peter Joshua Dacosta, MD 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (508) 421-1400

Reviews and Comments

Emergency Medicine Doctors in Worcester, MA

Hillary R. Irons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490
Dr. Thomas Evans, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605 Phone: 508-334-8015
Romolo J. Gaspari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-421-1400 Fax: 508-421-1490
Alexander Hart, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Roderick Cross, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000
Austin Tam, MD, SCM Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000
Robert Brewer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605 Phone: 508-421-1439

Peter Joshua Dacosta, MD - Medicare Emergency Medicine in Worcester, MA