| Paul Stephen Costanzo, PA-C | |
|
404 Hazen St, Suite L3, Paw Paw, MI 49079-1040 | |
| (269) 657-1595 | |
| (269) 657-1534 |
| Full Name | Paul Stephen Costanzo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 404 Hazen St, Paw Paw, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104845239 | NPI | - | NPPES |
| 0H060020 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601003700 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Rest Christian Mental Health Services | 4981506508 | 354 |
| Entity Name | Pine Rest Christian Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851309884 PECOS PAC ID: 4981506508 Enrollment ID: O20040216000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Stephen Costanzo, PA-C 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | Paul Stephen Costanzo, PA-C 404 Hazen St, Suite L3, Paw Paw, MI 49079-1040 Ph: (269) 657-1595 |
Alejandra Solis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste G, Paw Paw, MI 49079 Phone: 269-668-3348 |
Mr. Gerald M Bush, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Suite B, Paw Paw, MI 49079 Phone: 269-655-3065 Fax: 269-655-0585 |
Rachel Click, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 451 Health Pkwy Ste B, Paw Paw, MI 49079 Phone: 269-655-3065 Fax: 269-655-0588 |
Daniel Richard Teske, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 451 Health Pkwy, Paw Paw, MI 49079 Phone: 269-657-2550 Fax: 269-657-2285 |
Cesar Carrizales, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste G, Paw Paw, MI 49079 Phone: 269-668-3348 |
Laura Sue Felton-zerafa, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 Hazen St Ste L3, Paw Paw, MI 49079 Phone: 269-657-1595 Fax: 269-657-1534 |
Mrs. Amanda Rose Pung, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 451 Health Pkwy Ste B, Paw Paw, MI 49079 Phone: 269-655-3065 |