Michael E Costa, DDS is a
Dentist based in King Cove, Alaska. Michael E Costa is licensed to practice in Alaska (license number 1382) and his current practice location is
100 Slocum Dr, King Cove, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 497-2311.
NPI number for Michael E Costa is 1144252529 and his current mailing address is 3380 C St Ste 100, Anchorage, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144252529.
Healthcare Provider's Profile
| Full Name | Michael E Costa |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 100 Slocum Dr, King Cove, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1144252529
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 11/23/2011
Medical Identifiers
Medical identifiers for Michael E Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144252529 | NPI | - | NPPES |
| 022868 | Medicaid | OR | |
| 943096772 | Other | | FEDERAL TAX ID |
| 1382 | Other | AK | ALASKA DENTAL LICENSE |
| D7867 | Other | OR | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 1382 (Alaska) | Primary |
| 122300000X | Dentist | D7867 (Oregon) | Secondary |
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 E Costa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael E Costa, DDS
3380 C St Ste 100,
Anchorage, AK 99503-3949
Ph: (907) 277-1440 | Michael E Costa, DDS
100 Slocum Dr,
King Cove, AK 99612
Ph: (907) 497-2311 |
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