Individual ProviderMichelle AcostaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address200 Lothrop St Ste B445.2, Pittsburgh, PA 15213-2536(412) 647-3685PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Acosta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073922209Provider TypeIndividualFull NameAcosta, MichelleCredentialDPAS, PA-CGenderFemaleSole ProprietorNoEnumeration Date8/13/2014Last Updated12/19/2024Contact InformationPractice LocationPractice Address200 Lothrop St Ste B445.2, Pittsburgh, PA 15213-2536Phone(412) 647-3685Fax(412) 647-0989Mailing LocationMailing Address200 Lothrop St Ste B445.2, Pittsburgh, PA 15213-2536Phone(412) 647-3685FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA063482PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense13598623-1206UtahCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense017813New York