| Matthew Jacob Dacosta, PA-C | |
|
180 Corliss St Ste B, Providence, RI 02904-2602 | |
| (401) 793-8400 | |
| (401) 793-8402 |
| Full Name | Matthew Jacob Dacosta |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 180 Corliss St Ste B, Providence, Rhode Island |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093201667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01269 (Rhode Island) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Miriam Hospital | Providence, RI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anchor Medical Associates | 7911979869 | 26 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Jacob Dacosta, PA-C 111 Franklin St Apt 2, Bristol, RI 02809-2327 Ph: (508) 264-1979 | Matthew Jacob Dacosta, PA-C 180 Corliss St Ste B, Providence, RI 02904-2602 Ph: (401) 793-8400 |
Miss Celia Cordeiro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 Brook St, Providence, RI 02906 Phone: 401-863-3953 | |
Kelsey Heck, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy St., Claverick 2, Providence, RI 02903 Phone: 401-444-4000 | |
Bret Caulfield, Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4000 | |
Ms. Karen Lynn Steinmetz, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 593 Eddy St, Suite 814, Providence, RI 02903 Phone: 401-444-5891 Fax: 401-444-8158 | |
Linhuang Han, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Main 4, Providence, RI 02903 Phone: 401-444-7085 | |
Elizabeth Mewha, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 593 Eddy Street, Claverick 2, Providence, RI 02903 Phone: 401-444-5451 Fax: 401-444-5922 | |
Thomas A Morin, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Claverick 2, Providence, RI 02903 Phone: 401-444-4000 |