Laura Decastor, MD in Mishawaka, IN

Laura Decastor, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mishawaka, Indiana. Her current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-5000.

Laura Decastor is licensed to practice in Michigan (license number 4301049652) 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 1942373428.

Contact Information

	Laura Decastor, MD
	5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
	(574) 335-5000
	(574) 335-0760

Map and Direction

Physician's Profile

Full Name	Laura Decastor
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942373428
Provider Enumeration Date: 11/15/2006
Last Update Date: 10/10/2014

Medicare PECOS Information:

PECOS PAC ID: 9234189317
Enrollment ID: I20150629000773

Medical Identifiers

Medical identifiers for Laura Decastor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942373428	NPI	-	NPPES
2844302-10	Medicaid	MI
200872670	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	4301049652 (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. Laura Decastor allows following entities to bill medicare on her behalf.

Entity Name	University Hospitals Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301

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. Laura Decastor 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
Laura Decastor, MD Po Box 6309, South Bend, IN 46660-6309 Ph: (574) 335-8707	Laura Decastor, MD 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-5000

Reviews and Comments

Pediatrics Doctors in Mishawaka, IN

Nishaat Farooqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242
Dr. Muhammad Shahzad Mumtaz Ansari, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-4145 Fax: 574-335-4146
Marybeth Francis Mcclure, D0 Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 Lincoln Way W, Mishawaka, IN 46544 Phone: 574-259-5666
Dr. Franklin Moncrief Dobson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5215 Holy Cross Parkway, Mishawaka, IN 46545 Phone: 574-335-2309 Fax: 574-335-4146
Maryjo Meier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas Rd Ste 401, Mishawaka, IN 46545 Phone: 574-335-6242 Fax: 574-335-0758
Ismail Abbasi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mary Evelyn Graber, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 611 E Douglas, Suite 309, Mishawaka, IN 46545 Phone: 574-252-2640 Fax: 574-252-2650

Laura Decastor, MD - Medicare Pediatrics in Mishawaka, IN