Cory Nathan Costello, MD | |
4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 | |
(469) 800-6120 | |
(469) 800-6129 |
Full Name | Cory Nathan Costello |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 28 Years |
Location | 4800 Hedgcoxe Rd Ste 200, Plano, Texas |
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 |
---|---|---|---|
1861560138 | NPI | - | NPPES |
S3145 | Other | TX | TEXAS MEDICAL BOARD |
34362 | Other | TN | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34362 (Tennessee) | Secondary |
207Q00000X | Family Medicine | S3145 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center - Centennial | Frisco, TX | Hospital |
Baylor Scott & White Medical Center Plano | Plano, TX | Hospital |
Baylor Scott And White Medical Center Mckinney | Mc kinney, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthtexas Provider Network | 1355254210 | 1844 |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Cory Nathan Costello, MD 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 Ph: (469) 800-6120 | Cory Nathan Costello, MD 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 Ph: (469) 800-6120 |
Elaine C. Timm, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Matthew Garrett Weyenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Dr. Lorenzo Fredi Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3821 W Spring Creek Pkwy, Plano, TX 75023 Phone: 972-599-0077 | |
Dr. Mahdi M Awwad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 W Park Blvd, Plano, TX 75093 Phone: 724-824-2919 | |
Dr. Seema C Modi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5941 Dallas Pkwy Ste 100, Plano, TX 75093 Phone: 972-758-4455 Fax: 972-758-4433 | |
Dr. Gregory Alan Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 West Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Adeel Zafar Qureshi, Family Medicine Medicare: Medicare Enrolled Practice Location: 6839 Communications Pkwy, Plano, TX 75024 Phone: 972-733-7242 |