| Emily D Costello, NP | |
|
1530 Riverside Dr, Titusville, FL 32780-4728 | |
| (321) 480-2525 | |
| Not Available |
| Full Name | Emily D Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1530 Riverside Dr, Titusville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730134131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP3200472 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3200472 (Florida) | Primary |
| Entity Name | Inphynet Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073556767 PECOS PAC ID: 7416865811 Enrollment ID: O20031105000125 |
| Entity Name | Brevard Physician Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily D Costello, NP 1530 Riverside Dr, Titusville, FL 32780-4728 Ph: () - | Emily D Costello, NP 1530 Riverside Dr, Titusville, FL 32780-4728 Ph: (321) 480-2525 |
Rebecca J Human, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 Knox Mcrae Dr, Titusville, FL 32780 Phone: 321-269-2028 Fax: 321-264-0730 | |
Debra Allen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3300 Dairy Rd, Titusville, FL 32796 Phone: 321-269-6530 Fax: 321-269-2334 | |
Kylie Woodhouse, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 N Washington Ave, Titusville, FL 32796 Phone: 321-268-6111 | |
Dawn Michele Hillebrandt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Harrison Street, Parrish Medical Group, Titusville, FL 32780 Phone: 321-268-6868 Fax: 321-267-2713 | |
Mrs. Janette Marie Robinson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5510 Bent Oak Dr, Titusville, FL 32780 Phone: 321-961-5162 | |
Brandon Bogard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 S Washington Ave, Titusville, FL 32780 Phone: 321-360-5577 Fax: 321-806-2087 | |
Mario J Barone, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 N Washington Ave, Titusville, FL 32796 Phone: 321-268-5008 Fax: 321-607-6690 |