Paul Stephen Costanzo, PA-C
Paul Stephen Costanzo, PA-C is a Physician Assistant in Paw Paw, Michigan. Qualified in 2001, 25 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 25
- Licensed in
- MI
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
404 Hazen St Ste L3Paw Paw, MI 49079-1040
Phone: (269) 657-1595
Fax: (269) 657-1534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 5601003700 (MI) |
|---|
Record details
| NPI number | 1104845239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | September 27, 2010 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Pine Rest Christian Mental Health Services — 353 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Other providers in Paw Paw
-
Mr. Gregory Robert Hughes, PA-C
451 Health Pkwy, Paw Paw, MI 49079-8242 · (269) 655-1715