| Katherine Costello, MD | |
|
Us Hwy 491 North, Shiprock, NM 87420 | |
| (505) 368-6001 | |
| (505) 368-7011 |
| Full Name | Katherine Costello |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 16 Years |
| Location | Us Hwy 491 North, Shiprock, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619104916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 241082 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | MD2012-053 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Vermont Medical Center | Barre, VT | Hospital |
| Woodridge Nursing Home | Barre, VT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Vermont Medical Center Inc | 9335138817 | 204 |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831374362 PECOS PAC ID: 9335138817 Enrollment ID: O20040510001034 |
| Entity Name | Central Vermont Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023028784 PECOS PAC ID: 9335138817 Enrollment ID: O20051220000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Costello, MD Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Katherine Costello, MD Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001 |
Aimee E Mcmullin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Erin Schifeling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-7010 | |
Dean C Dischler, Family Medicine Medicare: Medicare Enrolled Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-7010 Fax: 505-368-7011 | |
Brianna Marie Muller, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Dr. John C Mohs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 Fax: 505-368-7011 | |
Marcus Lawrence Couldridge, Family Medicine Medicare: Medicare Enrolled Practice Location: Po Box 160, Shiprock, NM 87420 Phone: 505-368-6001 | |
Dr. Ellen Roberta Embick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us-491, Shiprock, NM 87420 Phone: 505-368-6001 |