| Mr Jody James Decastro, PA-C | |
|
1910 Sassafras St Ste 300, Erie, PA 16502-2716 | |
| (814) 452-7575 | |
| (814) 452-7574 |
| Full Name | Mr Jody James Decastro |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1910 Sassafras St Ste 300, Erie, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457633943 | NPI | - | NPPES |
| 12292814 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 015034 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA055017 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Chautauqua At Wca | Jamestown, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umamaheswara Rao Vejendla Physician Pc | 9133180888 | 4 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jody James Decastro, PA-C 152 Foote Avenue, Jamestown, NY 14701 Ph: (716) 664-5290 | Mr Jody James Decastro, PA-C 1910 Sassafras St Ste 300, Erie, PA 16502-2716 Ph: (814) 452-7575 |
Dynara Mirone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4247 W Ridge Rd, Erie, PA 16506 Phone: 814-835-2580 | |
Colleen Kassandra Dominici, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 State St, Erie, PA 16550 Phone: 814-877-4922 Fax: 814-877-3622 | |
Elizabeth Arduini, Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 E 2nd St Fl 2, 2nd Floor, Erie, PA 16507 Phone: 814-456-8980 | |
Sarah Al-asady, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2315 Myrtle St Ste L10, Erie, PA 16502 Phone: 814-453-7767 Fax: 814-454-6667 | |
Mrs. Marcie L Fitzgerald, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1645 West 8th Street, Shriners Hospitals For Children Erie, Erie, PA 16505 Phone: 814-875-8728 Fax: 814-875-8796 | |
Kristin R Rand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3317 Liberty St, Erie, PA 16508 Phone: 814-868-8531 Fax: 814-866-1439 | |
Danielle Mather, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3330 Peach St, Suite 106b, Erie, PA 16508 Phone: 814-877-5570 |