Dr Dary Jonathan Costa, MD in Louisville, KY

Dr Dary Jonathan Costa, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Louisville, Kentucky. His current practice location is 411 E Chestnut St # Level6, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 588-9587.

Dr Dary Jonathan Costa is licensed to practice in Kentucky (license number TP891) 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 1184826273.

Contact Information

	Dr Dary Jonathan Costa, MD
	411 E Chestnut St # Level6, Louisville, KY 40202-1713
	(502) 588-9587
	(502) 588-9580

Map and Direction

Physician's Profile

Full Name	Dr Dary Jonathan Costa
Gender	Male
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	411 E Chestnut St # Level6, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184826273
Provider Enumeration Date: 06/01/2007
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9638348196
Enrollment ID: I20110818000105

Medical Identifiers

Medical identifiers for Dr Dary Jonathan Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184826273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YP0228X	Otolaryngology - Pediatric Otolaryngology	TP891 (Kentucky)	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. Dr Dary Jonathan Costa allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Ent Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366705998 PECOS PAC ID: 7517118813 Enrollment ID: O20121114000539

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. Dr Dary Jonathan Costa 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
Dr Dary Jonathan Costa, MD Po Box 776879, Chicago, IL 60677-6879 Ph: (502) 588-9490	Dr Dary Jonathan Costa, MD 411 E Chestnut St # Level6, Louisville, KY 40202-1713 Ph: (502) 588-9587

Reviews and Comments

Otolaryngology Doctors in Louisville, KY

Dr. Michael J Brown, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3999 Dutchmans Ln, Suite #3a, Suburban Plaza One, Louisville, KY 40207 Phone: 502-897-7300 Fax: 502-897-3332
Dr. Carl D Coppola, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3950 Kresge Way Ste 402, Louisville, KY 40207 Phone: 502-893-3683
Mr. Stanley S. Chmiel, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4003 Kresge Way, Ste 227, Louisville, KY 40207 Phone: 502-893-3342 Fax: 502-893-9575
Dr. Marion D Eyre, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6420 Dutchmans Pkwy, Suite 380, Louisville, KY 40205 Phone: 502-894-9753 Fax: 502-371-0929
Dr. Sean Matthew Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6420 Dutchmans Pkwy Ste 380, Louisville, KY 40205 Phone: 502-894-8441 Fax: 502-894-4453
Ziad A Katrib, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 E Chestnut St Unit 170, Louisville, KY 40202 Phone: 502-583-3687 Fax: 502-588-7840
Mary Katherine Alexandra Spiker, PA-C Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4950 Norton Healthcare Blvd Ste 205, Louisville, KY 40241 Phone: 502-394-6390 Fax: 502-394-6388

Dr Dary Jonathan Costa, MD - Medicare Otolaryngology in Louisville, KY