Deandrea Dacosta (NPI# 1972770469, PAC ID# 8820169238) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972770469 |
| PAC ID by PECOS | 8820169238 |
| Professional Enrollment ID | I20120106000555 |
| Full Name | Deandrea Dacosta |
| Organization Legal Name | MOORE MEDICAL GROUP INC |
| Address |
1940 Harrison Ave Panama City FL 32405-4542 |
| Phone Number | 8507630017 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638354889 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1940 Harrison Ave, Panama City, FL 32405-4542 | 8507630017 | MOORE MEDICAL GROUP INC |
| Organization Legal Name | MOORE MEDICAL GROUP INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennah Cutting | Nurse Practitioner | Moore Medical Group Inc | 2050 Mercantile Dr, Leland, NC 28451-4053 |
| Sarah Slone | Nurse Practitioner | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Ana Maria Borrero | Nurse Practitioner | Moore Medical Group Inc | 4480 51st W St, Bradenton, FL 34210-2855 |
| Ruth Allen | Physician Assistant | Moore Medical Group Inc | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Crystal L Mccrary | Nurse Practitioner | Moore Medical Group Inc | 119 Pasadena Pl, Orlando, FL 32803-3825 |
| Elizabeth S Collie-mickens | Nurse Practitioner | Moore Medical Group Inc | 3130 Sw27th Ave, Ocala, FL 34471-4306 |
| Eric A Moore | Family Medicine | Moore Medical Group Inc | 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 |
| Fode Ogaga | Nurse Practitioner | Moore Medical Group Inc | 4480 51st W St, Bradenton, FL 34210-2855 |
| Jeffrey A Pearson | Physician Assistant | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Sarah Renee Mojazza | Physician Assistant | Moore Medical Group Inc | 3200 Waterfield Dr, Garner, NC 27529-7727 |
| Street Address |
1940 HARRISON AVE |
| City | PANAMA CITY |
| State | FL |
| Zip | 32405-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth Allen | Physician Assistant | Moore Medical Group Inc | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Royce P Gray | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Diana F Melazzo | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| John Roy Billingsley | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Jessica H Petch | Nurse Practitioner | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| James P Brown | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Dana B. Harbison | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Khandie Y Waugh | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Kelechi U Ogbuji | Psychiatry | Emerald Coast Behavioral Hospital LLC | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Martha Ruder | Nurse Practitioner | Moore Medical Group Inc | 1940 Harrison Ave, Panama City, FL 32405-4542 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celestino Palomino | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Arys Daniel Celaya | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Hakan Recep Toka | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Jennifer C Bala | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Ramin Tolouian | Nephrology | Manatee Kidney Diseases Consultants | 3701 Manatee Ave W, Bradenton, FL 32405-1711 |
| Sherry Lee Brown | Chiropractic | 2410 Saint Andrews Blvd A, Panama City, FL 32405-2135 | |
| Randall Humphreys | Allergy/immunology | 2401 Saint Andrews Blvd, Panama City, FL 32405-2170 | |
| Dinesh K Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
| Nayan Kumar Bhatt | Cardiovascular Disease (cardiology) | Nkbh LLC | 2232 W 24th St, Panama City, FL 32405-2226 |
| Daniel Eugene Feitz | Podiatry | 2424 Frankford Ave, Panama City, FL 32405-2239 | |
| Find all physicians in zip 32405 | |||
| City | PANAMA CITY |
| Zip Code | 32405 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PANAMA CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Deandrea Dacosta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.