| Cory Nathan Costello, MD | |
|
4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 | |
| (469) 800-6120 | |
| (469) 800-6129 |
| Full Name | Cory Nathan Costello |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 4800 Hedgcoxe Rd Ste 200, Plano, 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 |
|---|---|---|---|
| 1861560138 | NPI | - | NPPES |
| S3145 | Other | TX | TEXAS MEDICAL BOARD |
| 34362 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34362 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | S3145 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center - Centennial | Frisco, TX | Hospital |
| Baylor Scott & White Medical Center Plano | Plano, TX | Hospital |
| Medical City Plano | Plano, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Nathan Costello, MD 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 Ph: (469) 800-6120 | Cory Nathan Costello, MD 4800 Hedgcoxe Rd Ste 200, Plano, TX 75024-2402 Ph: (469) 800-6120 |
Elaine C. Timm, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Matthew Garrett Weyenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Dr. Lorenzo Fredi Perez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3821 W Spring Creek Pkwy, Plano, TX 75023 Phone: 972-599-0077 | |
Dr. Mahdi M Awwad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 W Park Blvd, Plano, TX 75093 Phone: 724-824-2919 | |
Khanh Thoai Truong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6513 Chase Oaks Blvd Ste A, Plano, TX 75023 Phone: 972-509-0752 Fax: 972-517-8770 | |
Dr. Seema C Modi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5941 Dallas Pkwy Ste 100, Plano, TX 75093 Phone: 972-758-4455 Fax: 972-758-4433 | |
Dr. Gregory Alan Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 West Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 |