Michael Costello, PA-C - Medicare Physician Assistant in Troy, MI

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Michael Costello, PA-C is a medicare enrolled "Physician Assistant - Medical" in Troy, Michigan. His current practice location is 4967 Crooks Rd, Suite 120, Troy, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 952-1601.

Michael Costello is licensed to practice in Michigan (license number 5601003192) 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 1083609192.

Contact Information

Michael Costello, PA-C
4967 Crooks Rd, Suite 120,
Troy, MI 48098-5801
(248) 952-1601
(248) 952-5781

Map and Direction




Provider's Profile

Full NameMichael Costello
GenderMale
SpecialityPhysician Assistant - Medical
Location4967 Crooks Rd, Troy, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083609192
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 07/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1658332614
  • Enrollment ID: I20041022000552

Medical Identifiers

Medical identifiers for Michael Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083609192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601003192 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Costello allows following entities to bill medicare on his behalf.
Entity NameHenry Ford Health St. John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043478910
PECOS PAC ID: 3173424082
Enrollment ID: O20040115000409
Entity NameMedicure Internists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144201880
PECOS PAC ID: 2769479088
Enrollment ID: O20040428001286
Entity NameGreat Lakes Medicine PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740210517
PECOS PAC ID: 4880613637
Enrollment ID: O20051122000265

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. Michael Costello 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 AddressPractice Location Address
Michael Costello, PA-C
4967 Crooks Rd, Suite 120,
Troy, MI 48098-5801

Ph: (248) 952-1601		Michael Costello, PA-C
4967 Crooks Rd, Suite 120,
Troy, MI 48098-5801

Ph: (248) 952-1601

Reviews and Comments


Physician Assistant Nurses in Troy, MI

Stephanie Anne Davenport, PAC
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Phone: 248-964-8432    Fax: 248-964-8420

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.