Dr Carmine Costello, PHD is a
Psychologist - Forensic based in Jefferson, Georgia. Dr Carmine Costello is licensed to practice in * (Not Available) (license number ) and his current practice location is
385 Hightower Trail, Jefferson, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 731-8257.
NPI number for Dr Carmine Costello is 1073227054 and his current mailing address is 850 Windy Hill Rd Se Unit 2084, Smyrna, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073227054.
Healthcare Provider's Profile
Full Name | Dr Carmine Costello |
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Gender | Male |
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Speciality | Psychologist - Forensic |
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Location | 385 Hightower Trail, Jefferson, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073227054
- Provider Enumeration Date: 01/13/2023
- Last Update Date: 12/01/2023
Medical Identifiers
Medical identifiers for Dr Carmine Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073227054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Carmine Costello is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Carmine Costello, PHD 850 Windy Hill Rd Se Unit 2084, Smyrna, GA 30081-3039 Ph: () - | Dr Carmine Costello, PHD 385 Hightower Trail, Jefferson, GA 30549 Ph: (770) 731-8257 |
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