Dr Karen Michelle Custodio, DO is a
Student In An Organized Health Care Education/training Program physician based in Lebanon, New Hampshire. Dr Karen Michelle Custodio is licensed to practice in New Hampshire (license number R4289) and her current practice location is 1 Medical Center Dr, Lebanon, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 650-5000.
NPI number for Dr Karen Michelle Custodio is 1033734447 and her current mailing address is 1 Medical Center Dr, Lebanon, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033734447.
Physician's Profile
Full Name | Dr Karen Michelle Custodio |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033734447
- Provider Enumeration Date: 06/11/2020
- Last Update Date: 07/11/2024
Medical Identifiers
Medical identifiers for Dr Karen Michelle Custodio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033734447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | OT019969 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | R4289 (New Hampshire) | Primary |
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 Karen Michelle Custodio 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 |
Dr Karen Michelle Custodio, DO 1 Medical Center Dr, Lebanon, NH 03756-0001 Ph: () - | Dr Karen Michelle Custodio, DO 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-5000 |
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