Isadora Dew De Castro, PT in South Lyon, MI - Medicare Physical Therapist Provider

Isadora Dew De Castro, PT is a medicare enrolled "Physical Therapist" provider in South Lyon, Michigan. Her current practice location is 22180 Pontiac Trl Ste E, South Lyon, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 446-0155.

Isadora Dew De Castro is licensed to practice in Michigan (license number 5501304017) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699598912.

Contact Information

	Isadora Dew De Castro, PT
	22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097
	(248) 446-0155
	(248) 446-0177

Map and Direction

Healthcare Provider's Profile

Full Name	Isadora Dew De Castro
Gender	Female
Speciality	Physical Therapist
Location	22180 Pontiac Trl Ste E, South Lyon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699598912
Provider Enumeration Date: 11/05/2024
Last Update Date: 09/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6608304373
Enrollment ID: I20250108002241

Medical Identifiers

Medical identifiers for Isadora Dew De Castro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699598912	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	5501304017 (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. Isadora Dew De Castro allows following entities to bill medicare on her behalf.

Provider Name	Select Cal Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572

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. Isadora Dew De Castro 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
Isadora Dew De Castro, PT 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 Ph: (248) 446-0155	Isadora Dew De Castro, PT 22180 Pontiac Trl Ste E, South Lyon, MI 48178-9097 Ph: (248) 446-0155

Reviews and Comments

Physical Therapist in South Lyon, MI

Jenna Cato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 62500 Nine Mile Rd # B, South Lyon, MI 48178 Phone: 248-573-8220
Ms. Amy Ramage, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Ms. Christa Milena Carlomusto, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25450 Villagewood Ct, South Lyon, MI 48178 Phone: 248-308-0400
Ellen Thomi Lecureux, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22180 Pontiac Trl, Suite E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Dana Lynn Karfonta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 301 S Lafayette St, South Lyon, MI 48178 Phone: 248-486-1110 Fax: 248-486-3318
Stephanie Paige Liederbach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22180 Pontiac Trl Ste E, South Lyon, MI 48178 Phone: 248-446-0155 Fax: 248-446-0177
Michele Marie Bird, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22062 Brookfield Ct, South Lyon, MI 48178 Phone: 248-437-6910

Isadora Dew De Castro, PT - Medicare Physical Therapist in South Lyon, MI