Dr Robert Kenneth Costa Jr, MD | |
1550 Faulk St Ste 2100, Monroe, NC 28112-5087 | |
(704) 289-2553 | |
(704) 289-6496 |
Full Name | Dr Robert Kenneth Costa Jr |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 1550 Faulk St Ste 2100, Monroe, North 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 |
---|---|---|---|
1801997267 | NPI | - | NPPES |
3181430 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 156629 (Massachusetts) | Secondary |
207V00000X | Obstetrics & Gynecology | 86997 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Physician Network Llc | 7911287552 | 96 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Obhg South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538457361 PECOS PAC ID: 7012182504 Enrollment ID: O20111212000681 |
Entity Name | Piedmont Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Kenneth Costa Jr, MD 4063 Poplar Ridge Dr, Fort Mill, SC 29715 Ph: (413) 237-0107 | Dr Robert Kenneth Costa Jr, MD 1550 Faulk St Ste 2100, Monroe, NC 28112-5087 Ph: (704) 289-2553 |
Christanna Rae Schuman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 Wellness Blvd Ste 120, Monroe, NC 28110 Phone: 704-316-2146 Fax: 704-316-2150 | |
Kitila Smith Heyward, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1550 Faulk St, Ste 2100, Monroe, NC 28112 Phone: 704-289-2553 | |
Ashley Martinez Fento, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2000 Wellness Blvd Ste 120, Monroe, NC 28110 Phone: 704-316-2146 Fax: 704-316-2150 | |
Heather Fay Maureen Leslie-brown, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1315 E Sunset Dr Ste 203, Monroe, NC 28112 Phone: 704-288-4650 Fax: 704-225-3320 | |
Maritza Manrique-kiniry, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1550 Faulk St, Ste 2100, Monroe, NC 28112 Phone: 704-289-2553 | |
Arlene Persaud-kraut, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1550 Faulk St, Ste 2100, Monroe, NC 28112 Phone: 704-289-2553 | |
John M Thompson, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1550 Faulk St, Suite 2100, Monroe, NC 28112 Phone: 704-289-2553 Fax: 704-289-6496 |