| Dr Mark Edward Costa, MD | |
|
361 Woodward St, Waban, MA 02468-2027 | |
| (617) 777-4080 | |
| (617) 224-4306 |
| Full Name | Dr Mark Edward Costa |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 361 Woodward St, Waban, Massachusetts |
| 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 |
|---|---|---|---|
| 1912997420 | NPI | - | NPPES |
| 054772 | Other | MA | TUFTS HEALTH PLAN |
| J10005 | Other | MA | BCBS MA |
| 3131874 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54772 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital - Needham | Needham, MA | Hospital |
| Entity Name | Enhanced Medical Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952525867 PECOS PAC ID: 0840379285 Enrollment ID: O20080509000337 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Edward Costa, MD 361 Woodward St, Waban, MA 02468-2027 Ph: (617) 777-4080 | Dr Mark Edward Costa, MD 361 Woodward St, Waban, MA 02468-2027 Ph: (617) 777-4080 |
Dr. Evan M Beckman, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Moffat Rd, Waban, MA 02468 Phone: 617-916-1685 | |
Gwendolyn Kane-wanger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26 Varick Hill Rd, Waban, MA 02468 Phone: 617-797-5278 | |
Lawrence G Miller, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 118 Upland Rd, Waban, MA 02468 Phone: 617-244-3103 |