| Jamison Forrest Costello, DO | |
|
240 S Main St Ste A, Wolfeboro, NH 03894-4411 | |
| (603) 569-7500 | |
| Not Available |
| Full Name | Jamison Forrest Costello |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 240 S Main St Ste A, Wolfeboro, New Hampshire |
| 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 |
|---|---|---|---|
| 1053731646 | NPI | - | NPPES |
| 3109500 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18414 (New Hampshire) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Concord Regional Vna | Concord, NH | Home health agency |
| Cornerstone Vna | Rochester, NH | Home health agency |
| Huggins Hospital | Wolfeboro, NH | Hospital |
| Speare Memorial Hospital | Plymouth, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Speare Memorial Hospital | 1153318068 | 48 |
| Huggins Hospital | 4880504927 | 25 |
| Entity Name | Catholic Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427154335 PECOS PAC ID: 6103897129 Enrollment ID: O20040803001720 |
| Entity Name | Speare Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346402047 PECOS PAC ID: 1153318068 Enrollment ID: O20040823001172 |
| Entity Name | Huggins Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366476079 PECOS PAC ID: 4880504927 Enrollment ID: O20060425000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamison Forrest Costello, DO 240 S Main St Ste A, Wolfeboro, NH 03894-4411 Ph: (603) 569-7574 | Jamison Forrest Costello, DO 240 S Main St Ste A, Wolfeboro, NH 03894-4411 Ph: (603) 569-7500 |
Eric C Lewis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 240 S Main St, Suite A, Wolfeboro, NH 03894 Phone: 603-569-7574 Fax: 603-569-7582 | |
Dr. Jim Kevin Copenhaver, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 S Main St, Emergency Department, Wolfeboro, NH 03894 Phone: 360-257-9403 | |
Christina Marie Anderson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 S Main St, Medical Arts Building Ste A, Wolfeboro, NH 03894 Phone: 603-569-7574 Fax: 603-569-7582 | |
Susan L Therriault, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-569-7574 Fax: 603-569-7582 | |
Dr. Paul E Demasi, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 S Main St, Wolfeboro, NH 03894 Phone: 603-515-2093 | |
Hasan Duymazlar, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 South Main Street, Huggins Hospital, Wolfeboro, NH 03894 Phone: 603-569-7500 Fax: 603-569-7509 |