Matthew Jacob Dacosta, PA-C is a medicare enrolled "Physician Assistant" in Westport, Massachusetts. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southcoast Physicians Group Inc and his current practice location is
827 American Legion Hwy, Westport, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 636-5101.
Matthew Jacob Dacosta is licensed to practice in Massachusetts (license number PA7684) 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.
Provider's Profile
| Full Name | Matthew Jacob Dacosta |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 827 American Legion Hwy, Westport, Massachusetts |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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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: 11/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 8527317676
- Enrollment ID: I20240910000738
Medical Identifiers
Medical identifiers for Matthew Jacob Dacosta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093201667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA7684 (Massachusetts) | Primary |
| 363A00000X | Physician Assistant | PA01269 (Rhode Island) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southcoast Physicians Group Inc | 0749171957 | 789 |
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 Address | Practice 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
827 American Legion Hwy,
Westport, MA 02790-4128
Ph: (508) 636-5101 |
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