Elaine Marguerite Dimicco, PA-C is a
Physician Assistant based in Whitedeer, Pennsylvania. Elaine Marguerite Dimicco is licensed to practice in Pennsylvania (license number MA054675) and her current practice location is
2 Mi North Of Whitedeer, Whitedeer, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 547-0963.
NPI number for Elaine Marguerite Dimicco is 1487885091 and her current mailing address is 2 Liberty St, Watsontown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487885091.
Provider's Profile
Full Name | Elaine Marguerite Dimicco |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2 Mi North Of Whitedeer, Whitedeer, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487885091
- Provider Enumeration Date: 07/30/2009
- Last Update Date: 11/04/2014
Medical Identifiers
Medical identifiers for Elaine Marguerite Dimicco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487885091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA054675 (Pennsylvania) | Primary |
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. Elaine Marguerite Dimicco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elaine Marguerite Dimicco, PA-C 2 Liberty St, Watsontown, PA 17777-1315 Ph: (908) 303-3566 | Elaine Marguerite Dimicco, PA-C 2 Mi North Of Whitedeer, Whitedeer, PA 17717 Ph: (570) 547-0963 |
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