| Amanda Costa, NPP | |
|
1215 Broadway, Raynham, MA 02767-1942 | |
| (508) 894-0400 | |
| Not Available |
| Full Name | Amanda Costa |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1215 Broadway, Raynham, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841541109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | NPP37708 (Rhode Island) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN2265882 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Signature Healthcare Brockton Hospital | Brockton, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Healthcare Medical Group Inc | 7719876267 | 178 |
| Entity Name | Compass Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962437962 PECOS PAC ID: 0840193041 Enrollment ID: O20040127000701 |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255600300 PECOS PAC ID: 2860688728 Enrollment ID: O20120430000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Costa, NPP 362 N Bedford St, East Bridgewater, MA 02333-1148 Ph: (508) 894-0400 | Amanda Costa, NPP 1215 Broadway, Raynham, MA 02767-1942 Ph: (508) 894-0400 |
Ms. Belinda Mary Cyprien, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 70 Diniz Dr, Raynham, MA 02767 Phone: 781-535-8266 | |
Deborah Worthington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 301, Raynham, MA 02767 Phone: 401-457-1500 | |
Ileana Mather, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 617-798-6500 | |
Ms. Deborah Tremblay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 416 Broadway, Raynham, MA 02767 Phone: 508-828-5020 Fax: 866-262-4460 | |
Jessica Rose Grusmark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Us Highway 44, Raynham, MA 02767 Phone: 508-824-1361 | |
Renee E Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Broadway, Raynham, MA 02767 Phone: 508-894-0400 Fax: 508-697-9396 |