| Dr Kassandra Kostecki, DO | |
|
13001 Southern Blvd, Loxahatchee, FL 33470-9203 | |
| (561) 798-3300 | |
| Not Available |
| Full Name | Dr Kassandra Kostecki |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 13001 Southern Blvd, Loxahatchee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467800797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | UO4922 (Florida) | Primary |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Entity Name | St Lukes Clinic-treasure Valley Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kassandra Kostecki, DO 13001 Southern Blvd, Loxahatchee, FL 33470-9203 Ph: () - | Dr Kassandra Kostecki, DO 13001 Southern Blvd, Loxahatchee, FL 33470-9203 Ph: (561) 798-3300 |
Mrs. Amy Zaron Aqua, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12955 Palms West Dr, Suite 100 Building 8, Loxahatchee, FL 33470 Phone: 561-798-2468 Fax: 561-798-2733 | |
Dr. Eric Austin Jorge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13001 Southern Blvd, Loxahatchee, FL 33470 Phone: 561-345-7009 | |
Dr. John Lee Bankston Iii, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13001 Southern Blvd, Palm's West Hospital Nicu, Loxahatchee, FL 33470 Phone: 561-840-6220 | |
Martha C Holley, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12959 Palms West Dr, Suite 210, Loxahatchee, FL 33470 Phone: 561-795-3333 Fax: 561-791-3002 | |
Mrs. Andrea Chance Stark, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13475 Southern Blvd Ste 202, Loxahatchee, FL 33470 Phone: 561-509-5009 Fax: 561-798-2733 | |
Ana Napoles-ruiz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12957 Palms West Dr, Bldg 9, Suite 101, Loxahatchee, FL 33470 Phone: 561-795-5979 Fax: 561-795-9460 | |
Dr. Caecilia M Garcia-perez, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12983 Southern Blvd, Suite 100, Loxahatchee, FL 33470 Phone: 561-793-2500 |