Robert Kenneth Costa Jr, MD | |
360 Herlong Ave S, Rock Hill, SC 29732-1160 | |
(803) 366-4171 | |
(803) 366-6890 |
Full Name | Robert Kenneth Costa Jr |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 360 Herlong Ave S, Rock Hill, South Carolina |
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 |
---|---|---|---|
1801997267 | NPI | - | NPPES |
3181430 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 86997 (South Carolina) | Primary |
207V00000X | Obstetrics & Gynecology | 156629 (Massachusetts) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Physician Network Llc | 7911287552 | 96 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Entity Name | Obhg South Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538457361 PECOS PAC ID: 7012182504 Enrollment ID: O20111212000681 |
Entity Name | Piedmont Physician Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613 |
Mailing Address | Practice Location Address |
---|---|
Robert Kenneth Costa Jr, MD 299 Carew St, Suite 215, Springfield, MA 01104-2301 Ph: (413) 781-6210 | Robert Kenneth Costa Jr, MD 360 Herlong Ave S, Rock Hill, SC 29732-1160 Ph: (803) 366-4171 |
Zachary Alan Shanitkvich, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732 Phone: 803-328-2401 | |
Susan Mcbrayer Demchak, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1656 Riverchase Blvd, Ste 3600, Rock Hill, SC 29732 Phone: 803-324-7606 | |
William Samuel Revell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1656 Riverchase Blvd, Ste 3600, Rock Hill, SC 29732 Phone: 803-324-7606 | |
Frances Poe Bailey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732 Phone: 803-328-2401 Fax: 803-328-1030 | |
Kathryn E. Webb, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732 Phone: 803-328-2401 Fax: 803-328-1030 | |
Dr. Roy Norman Taylor, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd, Suite 145, Rock Hill, SC 29732 Phone: 803-328-2401 Fax: 803-328-1030 | |
Dr. Barbara L Rowland, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd, Suite 145, Rock Hill, SC 29732 Phone: 803-328-2401 Fax: 803-328-1030 |