Justin Costello, DO | |
3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 | |
(210) 916-5545 | |
Not Available |
Full Name | Justin Costello |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215235916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 973 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Boone Hospital Center | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hegg Memorial Hospital | 5193718757 | 24 |
Diagnostic Radiology Pc | 2264491570 | 38 |
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Hegg Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629023429 PECOS PAC ID: 5193718757 Enrollment ID: O20040407001457 |
Mailing Address | Practice Location Address |
---|---|
Justin Costello, DO 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 Ph: () - | Justin Costello, DO 3851 Roger Brooke Drive, Fort Sam Houston, San Antonio, TX 78234-6200 Ph: (210) 916-5545 |
Dr. Amy Benson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 Camden St, Suite 208, San Antonio, TX 78215 Phone: 210-892-0228 Fax: 210-455-0169 | |
Calvin Leuschen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-257-1400 | |
Dr. Sarah Morris Rothan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Datapoint Dr Ste 600, San Antonio, TX 78229 Phone: 210-616-7784 | |
Eric Ortega, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000 | |
Michael Mccarthy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229 Phone: 210-257-1400 Fax: 210-257-1428 | |
Dr. Gladys S. Sepulveda, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8401 Datapoint Dr, Suite 600, San Antonio, TX 78229 Phone: 210-616-7700 | |
Dr. John H. Gurian, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Datapoint Dr, Suite 600, San Antonio, TX 78229 Phone: 210-616-7700 Fax: 210-616-7709 |