Gregory Costa, PA-C | |
620 Halton Rd Apt 7101, Greenville, SC 29607-3486 | |
(323) 401-5141 | |
Not Available |
Full Name | Gregory Costa |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 620 Halton Rd Apt 7101, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790838399 | NPI | - | NPPES |
25621530 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 016288 (New York) | Primary |
363A00000X | Physician Assistant | PAL2348 (Colorado) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Gregory Costa, PA-C 620 Halton Rd Apt 7101, Greenville, SC 29607-3486 Ph: (323) 401-5141 | Gregory Costa, PA-C 620 Halton Rd Apt 7101, Greenville, SC 29607-3486 Ph: (323) 401-5141 |
Mr. Alec Ted Sims, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 213 Mills Ave, Greenville, SC 29605 Phone: 864-272-3300 Fax: 864-272-3311 | |
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Lisa Sherman Haselden, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-271-3444 Fax: 864-255-7877 | |
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Jillian Rose Kent, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7899 Fax: 864-455-5474 | |
Mrs. Mary Jeannette Leonardi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3443 Pelham Rd, Suite 200, Greenville, SC 29615 Phone: 864-254-9330 | |
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