| Geoffrey B Kostiner, MD | |
|
860 Omni Blvd, Suite # 205, Newport News, VA 23606-4237 | |
| (757) 873-2562 | |
| (757) 873-2570 |
| Full Name | Geoffrey B Kostiner |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 860 Omni Blvd, Newport News, Virginia |
| 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 |
|---|---|---|---|
| 1235123530 | NPI | - | NPPES |
| 340014547 | Other | RR/MEDICARE | |
| 174990 | Other | VA | ANTHEM |
| 010131561 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101056471 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Williamsburg Regional Medical Center | Williamsburg, VA | Hospital |
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Bon Secours Mary Immaculate Hospital | Newport news, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidewater Physicians Multispecialty Group Pc | 2860398526 | 253 |
| Centra Medical Group Llc | 4789606088 | 681 |
| Entity Name | Tidewater Physicians Multispecialty Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902848294 PECOS PAC ID: 2860398526 Enrollment ID: O20031211000980 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20051230000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Geoffrey B Kostiner, MD 860 Omni Blvd Ste 128, Newport News, VA 23606-4430 Ph: (757) 232-8769 | Geoffrey B Kostiner, MD 860 Omni Blvd, Suite # 205, Newport News, VA 23606-4237 Ph: (757) 873-2562 |
Eric Darby, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd Ste 107, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 | |
Timothy Powell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd Ste 500, Newport News, VA 23601 Phone: 757-873-1374 Fax: 757-873-1612 | |
Dr. Nizar Bou Diab, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 500 J Clyde Morris Blvd, Suite 500, Newport News, VA 23601 Phone: 757-873-1374 | |
Brianna Joy Mchugh, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 11803 Jefferson Ave Ste 100, Newport News, VA 23606 Phone: 757-594-1850 Fax: 757-594-1841 | |
Henry Menton Prillaman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 11848 Rock Landing Dr, Suite 402, Newport News, VA 23606 Phone: 757-873-1374 Fax: 757-466-1312 | |
David Hartke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 860 Omni Blvd, Suite 205, Newport News, VA 23606 Phone: 757-873-2562 Fax: 757-873-2570 |