Jack Emanuel Costas Jr, - Registered Nurse in Shoreham, NY

Jack Emanuel Costas Jr, is a Registered Nurse based in Shoreham, New York. Jack Emanuel Costas Jr is licensed to practice in New York (license number 798819-01) and his current practice location is 9 The Bnd, Shoreham, New York. He can be reached at his office (for appointments etc.) via phone at (516) 787-2405.

NPI number for Jack Emanuel Costas Jr is 1649840372 and his current mailing address is 9 The Bnd, Shoreham, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649840372.

Contact Information

Jack Emanuel Costas Jr,
9 The Bnd,
Shoreham, NY 11786-2239
(516) 787-2405
Not Available

Map and Direction




Provider's Profile

Full NameJack Emanuel Costas Jr
GenderMale
SpecialityRegistered Nurse
Location9 The Bnd, Shoreham, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649840372
  • Provider Enumeration Date: 06/25/2021
  • Last Update Date: 06/25/2021

Medical Identifiers

Medical identifiers for Jack Emanuel Costas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649840372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 798819-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Emanuel Costas Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Emanuel Costas Jr,
9 The Bnd,
Shoreham, NY 11786-2239

Ph: (516) 787-2405
Jack Emanuel Costas Jr,
9 The Bnd,
Shoreham, NY 11786-2239

Ph: (516) 787-2405

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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