Dr Corinne Dianne Costellic, DO | |
44199 Dequindre Rd Ste 612, Troy, MI 48085-1128 | |
(248) 964-5170 | |
(248) 964-5175 |
Full Name | Dr Corinne Dianne Costellic |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 15 Years |
Location | 44199 Dequindre Rd Ste 612, Troy, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194955104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | H0079964 (Maryland) | Secondary |
208600000X | Surgery | 5101018177 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beaumont Hospital, Troy | Troy, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Dr Corinne Dianne Costellic, DO 26901 Beaumont Blvd Suite 3d, Southfield, MI 48033-3849 Ph: (947) 522-1860 | Dr Corinne Dianne Costellic, DO 44199 Dequindre Rd Ste 612, Troy, MI 48085-1128 Ph: (248) 964-5170 |
Dr. Danielle Deluca-pytell, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3290 W Big Beaver Rd Ste 412, Troy, MI 48084 Phone: 248-885-8858 | |
Ashraf Elzanie, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1080 Kirts Blvd Ste 700, Troy, MI 48084 Phone: 248-362-2300 Fax: 248-362-5272 | |
Dr. Mark S Friedland Md Pc, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd, Ste 623, Troy, MI 48085 Phone: 248-828-5707 Fax: 248-828-5702 | |
Jonathan William Lezotte, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 44199 Dequindre Rd Ste 315, Troy, MI 48085 Phone: 248-964-1170 Fax: 248-964-1188 | |
Dr. Mark L Shapiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 284-964-1187 | |
Inad Naim Janineh, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 5600 Rochester Rd, Troy, MI 48085 Phone: 586-263-2300 Fax: 586-263-2614 |