Dennis T Costakos, MD in La Crosse, WI

Dennis T Costakos, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in La Crosse, Wisconsin. His current practice location is 700 West Ave S, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 785-0940.

Dennis T Costakos is licensed to practice in Wisconsin (license number 30281) 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 1588654081.

Contact Information

	Dennis T Costakos, MD
	700 West Ave S, La Crosse, WI 54601-4783
	(608) 785-0940
	Not Available

Map and Direction

Physician's Profile

Full Name	Dennis T Costakos
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	700 West Ave S, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588654081
Provider Enumeration Date: 10/26/2005
Last Update Date: 09/01/2021

Medicare PECOS Information:

PECOS PAC ID: 3072693241
Enrollment ID: I20071231000454

Medical Identifiers

Medical identifiers for Dennis T Costakos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588654081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	30281 (Wisconsin)	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. Dennis T Costakos allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Dennis T Costakos 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
Dennis T Costakos, MD 200 1st St Sw, Rochester, MN 55905-0002 Ph: (608) 785-0940	Dennis T Costakos, MD 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 785-0940

Reviews and Comments

Pediatrics Doctors in La Crosse, WI

Ashley Corinne Logan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940
Clayton J Menagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9881
Judy L Klevan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Jennifer C Peterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Antoinette M Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Gary R Stiers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Christen R Chamberland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-785-0940

Dennis T Costakos, MD - Medicare Pediatrics in La Crosse, WI