| Sandra Cosklo, DO | |
|
Box 120 Main Street, Clifford, PA 18413 | |
| (570) 222-5200 | |
| (570) 222-5201 |
| Full Name | Sandra Cosklo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | Box 120 Main Street, Clifford, Pennsylvania |
| 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 |
|---|---|---|---|
| 1841374469 | NPI | - | NPPES |
| 1534978 | Medicaid | PA | |
| 002242 | Other | FIRST PRIORITY HEALTH | |
| 785666 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS008778L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wayne Memorial Hospital Department Of Home Health | Honesdale, PA | Hospice |
| Wayne Memorial Hospital | Honesdale, PA | Hospital |
| Geisinger Community Medical Center | Scranton, PA | Hospital |
| Wayne Memorial Hospital | Honesdale, PA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Inpatient Medicine Pc | 6406995778 | 25 |
| Entity Name | Advanced Inpatient Medicine PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871725366 PECOS PAC ID: 6406995778 Enrollment ID: O20091125000458 |
| Entity Name | Adfinitas Health Palliative Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710734785 PECOS PAC ID: 0042609307 Enrollment ID: O20240628001823 |
| Entity Name | Advanced Inpatient Medicine Transitional Care - Ltcaco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427944859 PECOS PAC ID: 3577068337 Enrollment ID: O20250924000947 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Cosklo, DO Po Box 517, Carbondale, PA 18407-0517 Ph: (570) 282-6485 | Sandra Cosklo, DO Box 120 Main Street, Clifford, PA 18413 Ph: (570) 222-5200 |