Kevin Costello, CRNA | |
2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 | |
(910) 907-8922 | |
(910) 907-6069 |
Full Name | Kevin Costello |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184161994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN245934 (Georgia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 006278 (North Carolina) | Primary |
Entity Name | Firsthealth Of The Carolinas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
Mailing Address | Practice Location Address |
---|---|
Kevin Costello, CRNA 2817 Rock Merrit Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 Ph: (910) 907-8922 | Kevin Costello, CRNA 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 Ph: (910) 907-8922 |
Mr. Kevin Travis Worth, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6036 | |
Matthew Middleton Fanning, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-6000 | |
Mr. Kristoffer Villamin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Connor Mcclellan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Hannah Hawkinson Melkun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Dr. Thomas Gerald Baughan Ii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |