| Dr Jennifer M Dicocco, | |
|
1005 E Matthews Ave, Jonesboro, AR 72401-4308 | |
| (870) 935-1242 | |
| Not Available |
| Full Name | Dr Jennifer M Dicocco |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 1005 E Matthews Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083836266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 48681 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 182 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer M Dicocco, Po Box 1331, Jonesboro, AR 72403-1331 Ph: (870) 935-1242 | Dr Jennifer M Dicocco, 1005 E Matthews Ave, Jonesboro, AR 72401-4308 Ph: (870) 935-1242 |
Mr. Syed Safder Abbas Hasan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Jonesboro, AR 72401 Phone: 870-932-7024 | |
Mr. Joseph Wesley Hurston Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-3629 | |
Alice M Cherqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 201, Jonesboro, AR 72401 Phone: 870-934-1462 Fax: 870-934-1456 | |
Shravan Reddy Chintalapani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3629 | |
Mr. David L. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3629 | |
Dr. Jonathan Louis Altomar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-932-6809 |