Individual provider Active NPI

Dina Geren Bocko, PAC

  • Physician Assistant
  • East Stroudsburg, PA
National Provider Identifier
1609952837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051314 Issued in PA
Practice address
239 East Brown Street
Medical Associates of Monroe County
East Stroudsburg, PA 18301
Phone
(570) 421-3872
Fax
(570) 424-6631
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051314 PA Primary

Addresses

Primary practice location

239 East Brown Street
Medical Associates of Monroe County
East Stroudsburg, PA 18301

Mailing address

239 East Brown Street
Medical Associates of Monroe County
East Stroudsburg, PA 18301
Phone (570) 421-3872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070817000363 PA Practitioner - Physician Assistant 8123110350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

Practice addresses (Care Compare)

206 E Brown St
Pocono Medical Center
East Stroudsburg, PA 18301-3094
Phone (570) 421-4000

334 Main St
Dickson City, PA 18519-1668
Phone (507) 307-1767

Hospital & facility affiliations

  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051314PAMDPhysician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 EAST BROWN STREET",
            "address_2": "MEDICAL ASSOCIATES OF MONROE COUNTY",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-3872",
            "fax_number": "570-424-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 EAST BROWN STREET",
            "address_2": "MEDICAL ASSOCIATES OF MONROE COUNTY",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "18301",
            "telephone_number": "570-421-3872",
            "fax_number": "570-424-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREN BOCKO",
        "first_name": "DINA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.