| Jamie Nicole Costello, APRN | |
|
39425 Garfield Rd Ste 24, Clinton Township, MI 48038-4651 | |
| (586) 649-3181 | |
| (586) 649-3182 |
| Full Name | Jamie Nicole Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 39425 Garfield Rd Ste 24, Clinton Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477299139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209025184 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 4704393179 (Michigan) | Primary |
| Entity Name | Ih Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881432060 PECOS PAC ID: 5991165458 Enrollment ID: O20250130001591 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Nicole Costello, APRN 655 Brawley School Rd Ste 200, Mooresville, NC 28117-9601 Ph: (704) 696-1565 | Jamie Nicole Costello, APRN 39425 Garfield Rd Ste 24, Clinton Township, MI 48038-4651 Ph: (586) 649-3181 |
Alexandra Varga, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39425 Garfield Rd Ste 24, Clinton Township, MI 48038 Phone: 586-649-3181 | |
Emily Begian, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 43361 Commons Dr, Clinton Township, MI 48038 Phone: 586-745-3006 Fax: 586-935-3762 | |
Mrs. Michelle Carol Brogdon, RN, MSN, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16151 19 Mile Rd Ste 120, Clinton Township, MI 48038 Phone: 586-263-2222 | |
Dr. Esther Casinelli Sikorski, C.P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35200 Little Mack Ave, Clinton Township, MI 48035 Phone: 586-790-4096 Fax: 586-790-4364 | |
Sara Cormendy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2075 | |
Judy Haefner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 38242 Sarnette St, Clinton Township, MI 48036 Phone: 586-954-9042 | |
Mrs. Dana Marie Wenner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2788 Fax: 586-263-2577 |