Dr Mark Steven Costello Jr, MD | |
169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | |
(843) 792-8299 | |
Not Available |
Full Name | Dr Mark Steven Costello Jr |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 8 Years |
Location | 169 Ashley Ave, Charleston, South Carolina |
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 |
---|---|---|---|
1497103550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MMD.39504 LL (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christ Hospital | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christ Hospital Medical Specialists Llc | 6507998432 | 98 |
Christ Hospital Medical Specialists Llc | 6507998432 | 98 |
Entity Name | Christ Hospital Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20101112000568 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Steven Costello Jr, MD 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 Ph: (843) 792-8299 | Dr Mark Steven Costello Jr, MD 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 Ph: (843) 792-8299 |
Jenna Hanner Barengo, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 740-525-0170 | |
Ronald James Mcvicar, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-576-2692 | |
Nicole Kloosterman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave # Msc550, Charleston, SC 29425 Phone: 843-792-8299 | |
Dr. Mark Drury Ghegan, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1849 Savage Rd, Charleston, SC 29407 Phone: 843-766-7103 Fax: 843-763-3834 | |
Anthony Ghanem, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave Ste 1130, Charleston, SC 29425 Phone: 843-876-0791 Fax: 843-792-0546 | |
Amanda Gemmiti, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. David Watson Rodwell Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 67 Broad St, Suite 200, Charleston, SC 29401 Phone: 843-628-1415 |