| Jason A Dos Santos, PA-C | |
|
500 University Dr, Hershey, PA 17033-2360 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | Jason A Dos Santos |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 500 University Dr, Hershey, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922000603 | NPI | - | NPPES |
| 2001087 | Other | PA | KEYSTONE CENTRAL |
| 2001087 | Other | PA | KEYSTONE SENIOR BLUE |
| 50048830 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA051874 (Pennsylvania) | Primary |
| 363AS0400X | Physician Assistant - Surgical | MA051874 (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 | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Entity Name | St. Luke's Quakertown Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052616 PECOS PAC ID: 8224010350 Enrollment ID: O20040708000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Dos Santos, PA-C 4043 Waterford Dr, Center Valley, PA 18034-8692 Ph: (610) 476-9270 | Jason A Dos Santos, PA-C 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 |
Mr. Daniel Michael Weiss I, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-7299 Fax: 717-531-0089 |
Robert F Matthews, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 |
Mr. Justin Taylor Lowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr, Suite 1300, Hershey, PA 17033 Phone: 717-531-3828 Fax: 717-531-0465 |
Cortney Woytovich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-0882 |
Nikolette Marie Nolte, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790 |
Miss Diana Maria Consoli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 Hope Dr Ste 1300, Hershey, PA 17033 Phone: 717-531-3828 Fax: 717-531-0465 |
An Thien Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 |