Allen Michael Blackburn Costa, MD in Atlanta, GA - Medicare Student in an Organized Health Care Education/Training Program

Allen Michael Blackburn Costa, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. His current practice location is Emory University Hospital, 1364 Clifton Rd. Ne, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 712-2000.

Allen Michael Blackburn Costa is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740690924.

Contact Information

	Allen Michael Blackburn Costa, MD
	Emory University Hospital, 1364 Clifton Rd. Ne, Atlanta, GA 30332-1064
	(404) 712-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Allen Michael Blackburn Costa
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	Emory University Hospital, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740690924
Provider Enumeration Date: 04/28/2014
Last Update Date: 05/06/2026

Medicare PECOS Information:

PECOS PAC ID: 0446794002
Enrollment ID: I20240708000600

Medical Identifiers

Medical identifiers for Allen Michael Blackburn Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740690924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	0101289286 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Allen Michael Blackburn Costa 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
Allen Michael Blackburn Costa, MD Emory University Hospital, 1364 Clifton Rd. Ne, Atlanta, GA 30332-1064 Ph: (404) 712-2000	Allen Michael Blackburn Costa, MD Emory University Hospital, 1364 Clifton Rd. Ne, Atlanta, GA 30332-1064 Ph: (404) 712-2000

Allen Michael Blackburn Costa, MD - Medicare Student in an Organized Health Care Education/Training Program in Atlanta, GA