| Michelle Marie Dicostanzo, MD | |
|
1263 Hospital Dr Nw Ste 280, Corydon, IN 47112-2174 | |
| (812) 738-3086 | |
| (812) 738-1865 |
| Full Name | Michelle Marie Dicostanzo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1263 Hospital Dr Nw Ste 280, Corydon, 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 | 01082458A (Indiana) | Primary |
| 207Q00000X | Family Medicine | R-10580 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrison County Hospital | Corydon, IN | Hospital |
| Baptist Health Floyd | New albany, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Harrison County Hospital | 9032007208 | 44 |
| 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 1263 Hospital Dr Nw Ste 280, Corydon, IN 47112-2174 Ph: (812) 738-3086 | Michelle Marie Dicostanzo, MD 1263 Hospital Dr Nw Ste 280, Corydon, IN 47112-2174 Ph: (812) 738-3086 |
Dr. Reggie Duane Lyell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 | |
Dr. Bruce Everette Burton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1263 Hospital Drive Nw, Suite 240, Corydon, IN 47112 Phone: 812-972-1951 Fax: 812-738-0355 | |
Maria Lee Glass, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 | |
Dr. John Reinoehl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 | |
Kelly Louis Grossman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1263 Hospital Dr Nw, Suite 250, Corydon, IN 47112 Phone: 812-738-8136 Fax: 812-738-3155 | |
Dr. Mark Anthony Adams Sr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 313 Federal Dr Nw, Suite 200, Corydon, IN 47112 Phone: 812-738-4155 Fax: 812-738-6104 |