| Katherine Costa, | |
|
851 Middle St Ste 1100, Fall River, MA 02721-1779 | |
| (508) 324-6800 | |
| Not Available |
| Full Name | Katherine Costa |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 851 Middle St Ste 1100, Fall River, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578980934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 286312 (Massachusetts) | Primary |
| Entity Name | New York Queens Medicine And Surgery, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Costa, 851 Middle St Ste 1100, Fall River, MA 02721-1779 Ph: (508) 324-6800 | Katherine Costa, 851 Middle St Ste 1100, Fall River, MA 02721-1779 Ph: (508) 324-6800 |
Ernest Hou, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-7645 | |
Kelby Maher, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1030 President Ave, Fall River, MA 02720 Phone: 508-679-6833 | |
Dr. Selena Jorgensen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 363 Highland Ave, Fall River, MA 02720 Phone: 508-679-3131 | |
Deana Marie Theroux, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-235-5285 Fax: 508-678-6905 | |
Mohit Ojha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 387 Quarry St, Fall River, MA 02723 Phone: 508-679-8111 | |
Veronica Bernardo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1030 President Ave, Suite 2001, Fall River, MA 02720 Phone: 508-679-6833 Fax: 508-678-2200 | |
Staci M Resnick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 851 Middle St, Suite 1100, Fall River, MA 02721 Phone: 508-324-6800 Fax: 508-674-5440 |