James Robert Costello, MD | |
18615 Rue Beauvais, Lutz, FL 33558-7112 | |
(813) 745-7365 | |
(813) 449-8618 |
Full Name | James Robert Costello |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 18615 Rue Beauvais, Lutz, Florida |
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 |
---|---|---|---|
1215115233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 001415 (Georgia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME135474 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 936 |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Mailing Address | Practice Location Address |
---|---|
James Robert Costello, MD Po Box 198441 Mbc-mmg, Atlanta, GA 30384-8441 Ph: (813) 745-7365 | James Robert Costello, MD 18615 Rue Beauvais, Lutz, FL 33558-7112 Ph: (813) 745-7365 |
Les R Folio, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 17327 Ladera Estates Blvd, Lutz, FL 33548 Phone: 813-745-7365 Fax: 813-449-8618 | |
Dr. Peter R. Bolos, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1208 Merry Water Dr, Lutz, FL 33548 Phone: 813-477-9979 Fax: 888-688-1659 | |
Donald Klippenstein, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Oxbridge Dr, Lutz, FL 33549 Phone: 813-745-7365 Fax: 813-449-8618 | |
Dr. Manuel Steven Farber, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 606 Druid Way, Lutz, FL 33548 Phone: 813-962-8930 | |
Dr. Tetiana Glushko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3403 Crenshaw Lake Rd, Lutz, FL 33548 Phone: 813-745-7365 Fax: 813-449-8618 | |
Cory Robert Rizzardi, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2540 Green Forest Ln Ste 101, Lutz, FL 33558 Phone: 813-920-5200 Fax: 813-920-5228 |