Steven K Costalas, DO | |
100 West Lancaster Avenue, Wynnewood, PA 19096 | |
(610) 645-2420 | |
Not Available |
Full Name | Steven K Costalas |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 100 West Lancaster Avenue, Wynnewood, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275505224 | NPI | - | NPPES |
0016586430004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS008477L (Pennsylvania) | Primary |
Entity Name | Main Line Emergency Med Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316919368 PECOS PAC ID: 9234034729 Enrollment ID: O20031208000122 |
Mailing Address | Practice Location Address |
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Steven K Costalas, DO Po Box 3012, Wilmington, DE 19804-0012 Ph: (800) 456-4629 | Steven K Costalas, DO 100 West Lancaster Avenue, Wynnewood, PA 19096 Ph: (610) 645-2420 |
John W Berry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 West Lancaster Avenue, Wynnewood, PA 19096 Phone: 610-645-2420 | |
Russell J Karten, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 West Lancaster Avenue, Wynnewood, PA 19096 Phone: 610-645-2420 | |
Adam L Wilkes, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 W Lancaster Ave, Wynnewood, PA 19096 Phone: 610-645-2420 | |
Joseph S Bushra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 West Lancaster Avenue, Wynnewood, PA 19096 Phone: 610-645-2420 | |
Dr. Kathryn Kaminski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Melissa Barenbaum, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 866-225-5654 |