Mr Andrew Costerisan, PA-C in Springfield, IL - Medicare Physician Assistant

Mr Andrew Costerisan, PA-C is a medicare enrolled "Physician Assistant" in Springfield, Illinois. His current practice location is 2801 Mathers Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 789-3600.

Mr Andrew Costerisan is licensed to practice in Illinois (license number 085004969) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477825651.

Contact Information

	Mr Andrew Costerisan, PA-C
	2801 Mathers Rd, Springfield, IL 62711-7064
	(217) 789-3600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Andrew Costerisan
Gender	Male
Speciality	Physician Assistant
Location	2801 Mathers Rd, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477825651
Provider Enumeration Date: 02/02/2012
Last Update Date: 04/02/2014

Medicare PECOS Information:

PECOS PAC ID: 4789825522
Enrollment ID: I20140611001535

Medical Identifiers

Medical identifiers for Mr Andrew Costerisan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477825651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA 9106409 (Florida)	Secondary
363A00000X	Physician Assistant	085004969 (Illinois)	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. Mr Andrew Costerisan 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
Mr Andrew Costerisan, PA-C 2801 Mathers Rd, Springfield, IL 62711-7064 Ph: (217) 789-3600	Mr Andrew Costerisan, PA-C 2801 Mathers Rd, Springfield, IL 62711-7064 Ph: (217) 789-3600

Reviews and Comments

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Mr Andrew Costerisan, PA-C - Medicare Physician Assistant in Springfield, IL