| Benjamin Costello, MD | |
|
1500 James Simpson Jr Way, Covington, KY 41011-0801 | |
| (859) 655-8980 | |
| (859) 655-8981 |
| Full Name | Benjamin Costello |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1500 James Simpson Jr Way, Covington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841452299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35.092494 (Ohio) | Secondary |
| 207R00000X | Internal Medicine | 52922 (Kentucky) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Costello, MD Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 344-5555 | Benjamin Costello, MD 1500 James Simpson Jr Way, Covington, KY 41011-0801 Ph: (859) 655-8980 |
Liah Jeane Laureno-alvarez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1132 Greenup St, Covington, KY 41011 Phone: 859-655-6100 | |
Dr. Ned Mehlman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-9500 Fax: 859-655-3077 | |
Irina Korableva, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Jaspreet Kaur Chahal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Suite 200, Covington, KY 41011 Phone: 859-655-8910 Fax: 859-655-8911 | |
Olusola Adekoya, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-287-3045 Fax: 859-655-3077 | |
Erin Renee Tischner, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-655-8980 Fax: 859-655-8981 | |
Dr. Carl D Gandola, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Suite 201, Covington, KY 41011 Phone: 859-655-8980 Fax: 859-655-8981 |