| Colleen Marie Costello, | |
|
200 1st St Sw, Rochester, MN 55905-0001 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Colleen Marie Costello |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326761636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Entity Name | Mankato Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Marie Costello, 200 1st St Sw, Rochester, MN 55905-0001 Ph: Not Available | Colleen Marie Costello, 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Rory M Haney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2551 |
Ryan Robert Benrud, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Katherine Melissa Lucas Jostad, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Jeffrey D. Strauss, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Jackson J Hermanson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Katherine Marie Linnen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |
Megan T Spychalla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |