Dr Michael Richard Kostura Ii, OD is a medicare enrolled "Optometrist" provider in Trabuco Canyon, California. His current practice location is
21612 Plano Trabuco Rd Ste C, Trabuco Canyon, California. You can reach out to his office (for appointments etc.) via phone at
(949) 459-5687.
Dr Michael Richard Kostura Ii is licensed to practice in California (license number 12316T) 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 1700913829.
Healthcare Provider's Profile
| Full Name | Dr Michael Richard Kostura Ii |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700913829
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688660350
- Enrollment ID: I20040427000678
Medical Identifiers
Medical identifiers for Dr Michael Richard Kostura Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700913829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 12316T (California) | 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 Michael Richard Kostura Ii allows following entities to bill medicare on his behalf.
| Provider Name | Kostura Optometric Corp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1578181491
PECOS PAC ID: 5597175950
Enrollment ID: O20201113001512 |
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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. Dr Michael Richard Kostura Ii 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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Dr Michael Richard Kostura Ii, OD
21612 Plano Trabuco Rd Ste C,
Trabuco Canyon, CA 92679-3488
Ph: (949) 459-5687 | Dr Michael Richard Kostura Ii, OD
21612 Plano Trabuco Rd Ste C,
Trabuco Canyon, CA 92679-3488
Ph: (949) 459-5687 |
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