Dr Theodore Gerard Costich, MD | |
41 Maple Rd, Williamsville, NY 14221-2918 | |
(716) 631-1045 | |
(716) 631-1365 |
Full Name | Dr Theodore Gerard Costich |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 38 Years |
Location | 41 Maple Rd, Williamsville, New York |
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 |
---|---|---|---|
1245331818 | NPI | - | NPPES |
01406720 | Medicaid | NY | |
10109001 | Other | NY | FIDELIS PROVIDER # |
00020006503 | Other | NY | UNIVERA HEALTHCARE PROVID |
0709667 | Other | NY | INDEPENDENT HEALTH PROVID |
005250881 | Other | NY | BC/BS OFWNY PROVIDER # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 187420 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kaleida Health | Buffalo, NY | Hospital |
Kenmore Mercy Hospital | Kenmore, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
General Physician Pc | 9537213079 | 331 |
Entity Name | General Physician Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093959322 PECOS PAC ID: 9537213079 Enrollment ID: O20090818000154 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Gerard Costich, MD 41 Maple Rd, Williamsville, NY 14221-2918 Ph: (716) 631-1045 | Dr Theodore Gerard Costich, MD 41 Maple Rd, Williamsville, NY 14221-2918 Ph: (716) 631-1045 |
Gurpreet K Dhaliwal, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6245 Sheridan Dr, Williamsville, NY 14221 Phone: 716-631-1150 Fax: 716-630-1265 | |
Dr. Magdi Edmond Sayegh, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 30 N Union Rd, Williamsville, NY 14221 Phone: 716-633-6363 Fax: 716-633-4419 | |
Rebecca E Sorley-mastrodomenico, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2240 North Forest Rd., Williamsville, NY 14221 Phone: 716-639-4034 Fax: 716-929-8940 | |
Ellen B Sterman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2240 North Forest Rd., Williamsville, NY 14221 Phone: 716-639-4034 Fax: 716-929-8940 | |
Maria A Corigliano, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2240 North Forest Rd., Williamsville, NY 14221 Phone: 716-639-4034 Fax: 716-929-8940 | |
Dr. Carola E Robinson, MD. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 30 N Union Rd, Suite 101, Williamsville, NY 14221 Phone: 716-633-6363 Fax: 716-633-4419 | |
Shelby Rose Beckholt, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 192 Park Club Ln Ste 120, Williamsville, NY 14221 Phone: 716-559-3803 |