| Mr Daniel Jeremy Cosgrove, MD | |
|
16311 Ventura Blvd, Ste 800, Encino, CA 91436-2124 | |
| (878) 906-0635 | |
| (818) 906-7303 |
| Full Name | Mr Daniel Jeremy Cosgrove |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 29 Years |
| Location | 16311 Ventura Blvd, Encino, California |
| 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 |
|---|---|---|---|
| 1790766491 | NPI | - | NPPES |
| 222046862 | Other | CA | BLUE SHIELD |
| 00A643480 | Medicaid | CA | |
| P00647439 | Other | CA | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | S64348 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Providence Tarzana Medical Center | Tarzana, CA | Hospital |
| Entity Name | Daniel J Cosgrove, M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073900817 PECOS PAC ID: 1951613355 Enrollment ID: O20150626000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Jeremy Cosgrove, MD 16311 Ventura Blvd, Ste 800, Encino, CA 91436-2124 Ph: (878) 906-0635 | Mr Daniel Jeremy Cosgrove, MD 16311 Ventura Blvd, Ste 800, Encino, CA 91436-2124 Ph: (878) 906-0635 |
Mr. Malcolm David Cosgrove, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 16311 Ventura Blvd, Ste 1000, Encino, CA 91436 Phone: 818-906-0635 Fax: 818-906-7303 | |
Patrick J Cannon, M.D. Urology Medicare: Medicare Enrolled Practice Location: 16101 Ventura Blvd, Suite 300, Encino, CA 91436 Phone: 818-788-5700 Fax: 818-788-5702 |