| Mark H Dicocco, DO | |
|
16618 Mountain Rd, Suite B, Montpelier, VA 23192-2649 | |
| (804) 883-0552 | |
| (804) 883-0054 |
| Full Name | Mark H Dicocco |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 16618 Mountain Rd, Montpelier, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245299957 | NPI | - | NPPES |
| 1043523087 | Other | VA | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102201376 (Virginia) | Primary |
| Entity Name | Mary Washington Healthcare Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
| Entity Name | Harrisonburg Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871775882 PECOS PAC ID: 1759444581 Enrollment ID: O20090330000745 |
| Entity Name | Harrisonburg Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750827523 PECOS PAC ID: 1759444581 Enrollment ID: O20171028000422 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark H Dicocco, DO 330 Pembroke Ln, Richmond, VA 23238-6221 Ph: (804) 672-4839 | Mark H Dicocco, DO 16618 Mountain Rd, Suite B, Montpelier, VA 23192-2649 Ph: (804) 883-0552 |
Virat V Bakhshi, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16618 Mountain Rd, Suite B, Montpelier, VA 23192 Phone: 804-883-0052 Fax: 804-883-0054 |