| Dr Nicolau N Dacosta, MD | |
|
252 S 4th St, Lebanon, PA 17042-6111 | |
| (717) 270-7688 | |
| (717) 270-3790 |
| Full Name | Dr Nicolau N Dacosta |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 252 S 4th St, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083622369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD053288L (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | MD053288L (Pennsylvania) | Secondary |
| Entity Name | Pinnacle Health Emergency Department Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693404 PECOS PAC ID: 0143124701 Enrollment ID: O20031125000218 |
| Entity Name | The Good Samaritan Hospital Of Lebanon, Pennsylvania |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730754284 PECOS PAC ID: 5597751206 Enrollment ID: O20040420001427 |
| Entity Name | Emergency Care Services Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114955010 PECOS PAC ID: 1759301799 Enrollment ID: O20051206000046 |
| Entity Name | Pennsylvania Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497059802 PECOS PAC ID: 1153507025 Enrollment ID: O20110511000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicolau N Dacosta, MD 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 270-7688 | Dr Nicolau N Dacosta, MD 252 S 4th St, Lebanon, PA 17042-6111 Ph: (717) 270-7688 |
Marcus Alexander Saunders, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Nina L Elliott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Jonathan S Rill, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Steven J Berk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 252 S 4th St, Lebanon, PA 17042 Phone: 717-270-7688 Fax: 717-270-3790 | |
Dr. Bruce K Eagleson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 | |
Robert J Balogh Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4th & Walnut Streets, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-2227 |