Dr Marissa Kristen Costello, MD - Medicare Family Medicine in Canton, MI

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Dr Marissa Kristen Costello, MD is a medicare enrolled "Family Medicine" physician in Canton, Michigan. Her current practice location is 2050 N Haggerty Rd Ste 100, Canton, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 446-9760.

Dr Marissa Kristen Costello is licensed to practice in Michigan (license number 4301509137) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467071860.

Contact Information

Dr Marissa Kristen Costello, MD
2050 N Haggerty Rd Ste 100,
Canton, MI 48187-3796
(734) 446-9760
Not Available

Map and Direction




Physician's Profile

Full NameDr Marissa Kristen Costello
GenderFemale
SpecialityFamily Medicine
Location2050 N Haggerty Rd Ste 100, Canton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467071860
  • Provider Enumeration Date: 04/15/2020
  • Last Update Date: 06/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416378872
  • Enrollment ID: I20230710000150

Medical Identifiers

Medical identifiers for Dr Marissa Kristen Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467071860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4352001003 (Michigan)Secondary
207Q00000XFamily Medicine 4301509137 (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 Marissa Kristen Costello allows following entities to bill medicare on her behalf.
Entity NameOakwood Ambulatory Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003829441
PECOS PAC ID: 1850282914
Enrollment ID: O20040320000401

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 Marissa Kristen Costello 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 AddressPractice Location Address
Dr Marissa Kristen Costello, MD
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: (947) 522-1848		Dr Marissa Kristen Costello, MD
2050 N Haggerty Rd Ste 100,
Canton, MI 48187-3796

Ph: (734) 446-9760

Reviews and Comments


Family Medicine Doctors in Canton, MI

Dr. Nayantara Jnananand, M.D.
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Practice Location: 8552 N Canton Center Rd, Canton, MI 48187
Phone: 248-910-4123    Fax: 888-378-0244
Mary Nixon, MD
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Practice Location: 1600 S Canton Center Rd, Canton, MI 48188
Phone: 734-398-7880    
Miguel Granados, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5958 N Canton Center Rd, Ste 200, Canton, MI 48187
Phone: 734-667-1648    Fax: 734-667-1649
Dr. Usman Ahmed, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 43050 Ford Rd Ste 170, Canton, MI 48187
Phone: 734-404-6168    Fax: 734-404-6183
Pamela M Geppert, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2050 N Haggerty Rd Ste 220, Canton, MI 48187
Phone: 734-446-9757    Fax: 734-446-9750
Dr. .sanjoy Mukerjee, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7288 N Sheldon Rd, Canton, MI 48187
Phone: 734-455-8222    Fax: 734-455-5222
Mr. Evans John Farres, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6050 N Sheldon Rd, Canton, MI 48187
Phone: 734-459-5500    Fax: 734-459-4610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.