Nicholas P Costidakis, DPM in Lafayette, IN - Medicare Podiatry Provider

Nicholas P Costidakis, DPM is a medicare enrolled "Podiatrist" provider in Lafayette, Indiana. He went to Kent State University College Of Podiatric Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Upperline Healthcare Pc and his current practice location is 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 447-4776.

Nicholas P Costidakis is licensed to practice in Indiana (license number 07000748A) 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 1972571297.

Contact Information

	Nicholas P Costidakis, DPM
	2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192
	(765) 447-4776
	(765) 447-4809

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas P Costidakis
Gender	Male
Speciality	Podiatry
Experience	34 Years
Location	2606 Veterans Memorial Pkwy S Ste 8, Lafayette, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas P Costidakis attended and graduated from Kent State University College Of Podiatric Medicine in 1990

NPI Data:

NPI Number: 1972571297
Provider Enumeration Date: 03/11/2006
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 4183696610
Enrollment ID: I20110128000082

Medical Identifiers

Medical identifiers for Nicholas P Costidakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972571297	NPI	-	NPPES
100232960	Medicaid	IN
10781139	Other	IN	CAQH
480034530	Other	IN	MEDICARE RAILROAD NUMBER
000000247376	Other	IN	ANTHEM PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	07000748A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upperline Healthcare Pc	4385900653	107

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. Nicholas P Costidakis allows following entities to bill medicare on his behalf.

Provider Name	Unity Healthcare Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578748554 PECOS PAC ID: 0244123362 Enrollment ID: O20040806000252

Provider Name	Upperline Healthcare Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20210723001347

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. Nicholas P Costidakis 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
Nicholas P Costidakis, DPM Po Box 4699, Lafayette, IN 47903-4699 Ph: (765) 449-2732	Nicholas P Costidakis, DPM 2606 Veterans Memorial Pkwy S Ste 8, Lafayette, IN 47909-9192 Ph: (765) 447-4776

Reviews and Comments

Podiatrist in Lafayette, IN

Katherine Cummins, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 225, Lafayette, IN 47905 Phone: 765-449-2436 Fax: 765-449-1817
Abigail Loiacono, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St Ste 100, Lafayette, IN 47904 Phone: 765-449-4758 Fax: 765-449-0659
Andrew Meyer, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 225, Lafayette, IN 47905 Phone: 765-449-2436 Fax: 765-449-1817
Andrew C Perry, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Union St Ste 100, Lafayette, IN 47904 Phone: 765-449-4758 Fax: 765-449-0659
Asiya Ansari, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl Ste 225, Lafayette, IN 47905 Phone: 765-449-2436 Fax: 765-449-1817
Lafayette Podiatry Associates, P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 2020 Union St Ste 100, Lafayette, IN 47904 Phone: 765-449-4758 Fax: 765-449-0659
James P Hoover, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2020 Union St, Suite 100, Lafayette, IN 47904 Phone: 765-447-7644 Fax: 765-448-9009

Nicholas P Costidakis, DPM - Medicare Podiatrist in Lafayette, IN