Matthew Jacob Dacosta, PA-C - Medicare Physician Assistant in Providence, RI

Matthew Jacob Dacosta, PA-C is a medicare enrolled "Physician Assistant" in Providence, Rhode Island. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Anchor Medical Associates and his current practice location is 180 Corliss St Ste B, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-8400.

Matthew Jacob Dacosta is licensed to practice in Rhode Island (license number PA01269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093201667.

Contact Information

Matthew Jacob Dacosta, PA-C
180 Corliss St Ste B,
Providence, RI 02904-2602
(401) 793-8400
(401) 793-8402



Provider's Profile

Full NameMatthew Jacob Dacosta
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location180 Corliss St Ste B, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew Jacob Dacosta graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1093201667
  • Provider Enumeration Date: 07/07/2018
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527317676
  • Enrollment ID: I20201108000008

Medical Identifiers

Medical identifiers for Matthew Jacob Dacosta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093201667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA01269 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anchor Medical Associates791197986927

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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. Matthew Jacob 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 AddressPractice 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

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Physician Assistant Nurses in Providence, RI

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
Mr. Mark James Nash, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 208 Collyer St, Providence, RI 02904
Phone: 401-793-2354    Fax: 401-793-7624

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