| Miss Michelle Valente Costa, | |
|
267 Grant St, Bridgeport, CT 06610-2870 | |
| (203) 384-3000 | |
| Not Available |
| Full Name | Miss Michelle Valente Costa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 267 Grant St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588307235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 10.219809 (Connecticut) | Secondary |
| 363L00000X | Nurse Practitioner | 12.010544 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bridgeport Hospital | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1244 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Michelle Valente Costa, 19 Lisa Dr, Shelton, CT 06484-2440 Ph: (203) 522-0068 | Miss Michelle Valente Costa, 267 Grant St, Bridgeport, CT 06610-2870 Ph: (203) 384-3000 |
Ryan Keenan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000 | |
Caroline Mead Farrell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 725 Park Ave, Bridgeport, CT 06604 Phone: 908-489-4847 | |
Miss Sandra Shipkowitz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4490 | |
Patricia Anne Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-368-3000 | |
Dr. Samantha Mraz, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-332-3584 | |
Esther M Mervil, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 471 Barnum Ave, Bridgeport, CT 06608 Phone: 203-333-6864 Fax: 203-332-0376 | |
Asena Derohannesian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 425 Thorme St, Bridgeport, CT 06606 Phone: 203-275-4115 Fax: 203-275-0198 |