Dr David Da Costa, MD in Detroit, MI

Dr David Da Costa, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Detroit, Michigan. His current practice location is 2799 W Grand Blvd, Wp 3 Nicu, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 916-3146.

Dr David Da Costa is licensed to practice in Michigan (license number 4301080608) 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 1770542771.

Contact Information

	Dr David Da Costa, MD
	2799 W Grand Blvd, Wp 3 Nicu, Detroit, MI 48202-2608
	(313) 916-3146
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David Da Costa
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2799 W Grand Blvd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770542771
Provider Enumeration Date: 03/20/2006
Last Update Date: 07/20/2012

Medicare PECOS Information:

PECOS PAC ID: 9335215284
Enrollment ID: I20080829000387

Medical Identifiers

Medical identifiers for Dr David Da Costa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770542771	NPI	-	NPPES
4764031	Medicaid	MI
350F361320	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	4301080608 (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. Dr David Da Costa allows following entities to bill medicare on his behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

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 David Da 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 David Da Costa, MD 2799 W Grand Blvd, Wp 3 Nicu, Detroit, MI 48202-2608 Ph: () -	Dr David Da Costa, MD 2799 W Grand Blvd, Wp 3 Nicu, Detroit, MI 48202-2608 Ph: (313) 916-3146

Reviews and Comments

Pediatrics Doctors in Detroit, MI

Dr. Ijeoma Nnodim Opara, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4201 St. Antoine Ste 6a & 6b, General Medicine Ambulatory Practice, Detroit, MI 48201 Phone: 313-745-4627 Fax: 313-966-7305
Dr. Alissa M Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien, Children's Hospital Of Mi, Detroit, MI 48201 Phone: 313-745-5515 Fax: 313-745-5237
Norimitsu Kuwabara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Children's Specialty Center, 3950 Beaubien, Detroit, MI 48201 Phone: 313-745-5906 Fax: 313-745-0955
Karolina Maksimowski, Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5260 Fax: 313-966-0665
Raffat A. Siddiqi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Medical Group - Detroit Northwest, 7800 W Outer Drive, Detroit, MI 48235 Phone: 313-653-2500 Fax: 313-653-2555
Dr. Rupa Thacker, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5533
Joshua Kim, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3901 Beaubien St, Detroit, MI 48201 Phone: 313-745-5870

Dr David Da Costa, MD - Medicare Pediatrics in Detroit, MI