| Dr Mark John Costantino, MD | |
| 195 King Ave, Athens, GA 30606-2963 | |
| (706) 549-8306 | |
| (706) 549-8351 | 
| Full Name | Dr Mark John Costantino | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Vascular Surgery | 
| Location | 195 King Ave, Athens, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1447247523 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 15361 (Georgia) | Primary | 
| Entity Name | University Surgical Associates Of Athens | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861500183 PECOS PAC ID: 2668463290 Enrollment ID: O20040521000292 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark John Costantino, MD 195 King Ave, Athens, GA 30606-2963 Ph: (706) 549-8306 | Dr Mark John Costantino, MD 195 King Ave, Athens, GA 30606-2963 Ph: (706) 549-8306 | 
| Dr. Thomas H Hawk Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Prince Ave, Building 8a, Athens, GA 30606 Phone: 706-353-1630 Fax: 706-543-6825 | |
| Ashlee R Kimbrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 Prince Ave Ste 100, Athens, GA 30606 Phone: 706-425-1420 | |
| Dr. Mohammed Hisham Obeidin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1010 Prince Ave Ste 400, Athens, GA 30606 Phone: 706-425-1400 Fax: 706-548-0184 | |
| Mrs. Laura Ashley Ray, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 658 N. Chase Street, Ste 201, Athens, GA 30607 Phone: 706-353-2990 Fax: 706-353-2992 | |
| Ryan M Katz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 2000, Athens, GA 30606 Phone: 706-548-5488 Fax: 706-548-0016 | |
| Cara Hudson, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 242 King Ave, Ste 130, Athens, GA 30606 Phone: 706-475-7110 | |
| Cullen D Morris, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Medical Services Building, 2nd Floor, Athens, GA 30606 Phone: 706-475-1950 Fax: 706-475-1955 |