| Michelle Marie Dicostanzo, MD | |
|
7890 E Ridge Rd, Hobart, IN 46342-2468 | |
| (219) 947-7880 | |
| (219) 962-9772 |
| Full Name | Michelle Marie Dicostanzo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 7890 E Ridge Rd, Hobart, Indiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053764936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R-10580 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 01082458A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harrison County Hospital | 9032007208 | 45 |
| Entity Name | Harrison County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790892727 PECOS PAC ID: 9032007208 Enrollment ID: O20040406000076 |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Entity Name | Villagemd Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336676923 PECOS PAC ID: 3476813544 Enrollment ID: O20180209001231 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Marie Dicostanzo, MD 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Michelle Marie Dicostanzo, MD 7890 E Ridge Rd, Hobart, IN 46342-2468 Ph: (219) 947-7880 |
Dr. Lauren Woodhouse Harting, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1356 South Lake Park Avenue, Hobart, IN 46342 Phone: 219-942-8518 Fax: 219-947-2751 | |
Michael H. Simpson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave Ste 200, Hobart, IN 46342 Phone: 219-947-6122 | |
Stephanie Anne Bryant, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 164 Bracken Parkway, Hobart, IN 46342 Phone: 219-942-1145 Fax: 219-942-8175 | |
Deepak Govind Bhojraj, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3586 N Hobart Rd, Suite C, Hobart, IN 46342 Phone: 219-962-6500 Fax: 219-965-3853 | |
Ibrahim George Zabaneh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Lake Park Ave, Ste 500, Hobart, IN 46342 Phone: 219-942-7299 Fax: 219-947-6624 | |
Holly Longstreet, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1354 S Lake Park Ave Ste B, Hobart, IN 46342 Phone: 219-945-4495 Fax: 219-703-6701 |