Jacqueline Angela Dacosta, RN - Registered Nurse in Decatur, GA

Jacqueline Angela Dacosta, RN is a Registered Nurse based in Decatur, Georgia. Jacqueline Angela Dacosta is licensed to practice in Georgia (license number RN079303) and her current practice location is 4133 Chapel Lake Dr, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 549-8086.

NPI number for Jacqueline Angela Dacosta is 1104209246 and her current mailing address is 4133 Chapel Lake Dr, Decatur, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104209246.

Contact Information

Jacqueline Angela Dacosta, RN
4133 Chapel Lake Dr,
Decatur, GA 30034-3568
(404) 549-8086
(404) 549-8086



Provider's Profile

Full NameJacqueline Angela Dacosta
GenderFemale
SpecialityRegistered Nurse
Location4133 Chapel Lake Dr, Decatur, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104209246
  • Provider Enumeration Date: 07/07/2015
  • Last Update Date: 07/07/2015

Medical Identifiers

Medical identifiers for Jacqueline Angela Dacosta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104209246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN079303 (Georgia)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. Jacqueline Angela Dacosta 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 AddressPractice Location Address
Jacqueline Angela Dacosta, RN
4133 Chapel Lake Dr,
Decatur, GA 30034-3568

Ph: (404) 549-8086
Jacqueline Angela Dacosta, RN
4133 Chapel Lake Dr,
Decatur, GA 30034-3568

Ph: (404) 549-8086

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Registered Nurse Nurses in Decatur, GA

Christopher Smith, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2591 Candler Rd, Decatur, GA 30032
Phone: 678-209-2720    
Arianne James,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Rd, Decatur, GA 30033
Phone: 404-321-6111    
Mrs. Melissa Turne, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Rd, Decatur, GA 30033
Phone: 404-321-6111    
Mrs. June Gandy, RN, MS, MIT, RAC-CT
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Rd, Decatur, GA 30033
Phone: 404-321-6111    
Ashley Ann Lounds,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 2665 N Decatur Rd Ste 130, Decatur, GA 30033
Phone: 404-778-7408    
Mrs. Prem Lata Khanna, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 445 Winn Way, Decatur, GA 30030
Phone: 404-508-7793    Fax: 404-508-7860
Robin Williams,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 455 Winn Way, Decatur, GA 30030
Phone: 404-294-3745    

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