Nicholes A Dasovich, PA-C | |
142 S Main St, Emergency Dept, Danville, VA 24541-2922 | |
(434) 799-2222 | |
(434) 799-3857 |
Full Name | Nicholes A Dasovich |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | 142 S Main St, Danville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720033798 | NPI | - | NPPES |
010187966 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 0110001598 (Virginia) | Primary |
Entity Name | Emergency Coverage Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679 |
Mailing Address | Practice Location Address |
---|---|
Nicholes A Dasovich, PA-C 142 S Main St, Danville, VA 24541-2922 Ph: (434) 251-3318 | Nicholes A Dasovich, PA-C 142 S Main St, Emergency Dept, Danville, VA 24541-2922 Ph: (434) 799-2222 |
Casey Alexander Marsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 | |
Tina Smith Gatewood, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Main St, Danville, VA 24541 Phone: 434-791-4123 Fax: 434-791-4126 | |
Courtney Anne Gouge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 109 Deer Run Rd, Danville, VA 24540 Phone: 434-791-0306 Fax: 434-791-0310 | |
Marian Taylor Strange Mizelle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 117 Executive Dr, Danville, VA 24541 Phone: 434-792-0423 | |
Larry C. Phillips Ii, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 441 E Piney Forest Rd, Danville, VA 24540 Phone: 434-791-4110 | |
Mr. Robert Wayne Hoffert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 130 Enterprise Dr, Danville, VA 24540 Phone: 434-791-2273 | |
Jeremy Shifflett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 133 Enterprise Dr, Danville, VA 24540 Phone: 434-792-2907 |