Mr Michael Cosulich, MD is a medicare enrolled "Dermatology" physician in Wall, New Jersey. He went to Georgetown University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Cosulich Dermatology Llc and his current practice location is
3350 Highway 138 West, Building 2, Suite 122, Wall, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 280-1200.
Mr Michael Cosulich is licensed to practice in New Jersey (license number 25MA09959400) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124439757.
Physician's Profile
| Full Name | Mr Michael Cosulich |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 3350 Highway 138 West, Wall, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Michael Cosulich attended and graduated from Georgetown University School Of Medicine in 2013
NPI Data:
- NPI Number: 1124439757
- Provider Enumeration Date: 05/16/2014
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860716735
- Enrollment ID: I20170719002232
Medical Identifiers
Medical identifiers for Mr Michael Cosulich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124439757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 24922 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 25MA09959400 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cosulich Dermatology Llc | 0446426019 | 4 |
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. Mr Michael Cosulich allows following entities to bill medicare on his behalf.
| Entity Name | Cosulich Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427333632
PECOS PAC ID: 0446426019
Enrollment ID: O20120103000291 |
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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. Mr Michael Cosulich 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 |
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Mr Michael Cosulich, MD
3350 Highway 138 West, Building 2, Suite 122,
Wall, NJ 07719
Ph: (732) 280-1200 | Mr Michael Cosulich, MD
3350 Highway 138 West, Building 2, Suite 122,
Wall, NJ 07719
Ph: (732) 280-1200 |
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