Dr Basilios C Costaras, DDS | |
874 Beach Rd, Lakewood, OH 44107-1018 | |
(216) 469-3356 | |
Not Available |
Full Name | Dr Basilios C Costaras |
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Gender | Male |
Speciality | Oral Surgery |
Experience | 37 Years |
Location | 874 Beach Rd, Lakewood, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1053644880 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Orofacial Group Inc | 4981786308 | 5 |
Entity Name | Southwest Orofacial Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487733572 PECOS PAC ID: 4981786308 Enrollment ID: O20080124000255 |
Mailing Address | Practice Location Address |
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Dr Basilios C Costaras, DDS 874 Beach Rd, Lakewood, OH 44107-1018 Ph: () - | Dr Basilios C Costaras, DDS 874 Beach Rd, Lakewood, OH 44107-1018 Ph: (216) 469-3356 |
Margaret Lucretia Sullivan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14500 Madison Ave, Lakewood, OH 44107 Phone: 216-521-3727 | |
Dr. Jill Marie Harter, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18224 Detroit Ave, Lakewood, OH 44107 Phone: 216-226-3880 Fax: 216-226-2030 | |
Dr. Ronald Paul Kolodziej, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17500 Madison Ave, Lakewood, OH 44107 Phone: 216-529-8422 Fax: 216-529-1848 | |
Dr. Thomas E. Kavanagh, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1417 Marlowe Ave, Lakewood, OH 44107 Phone: 216-221-7500 Fax: 216-221-2430 | |
Rami Mouded, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14865 Detroit Ave, Lakewood, OH 44107 Phone: 216-772-2310 | |
Robert Frank Legan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15642 Madison Ave, Lakewood, OH 44107 Phone: 216-521-5482 Fax: 216-521-5482 |