| Kent James Costello, PA | |
|
195 Pleasant St Unit 5, Bradford, PA 16701-1081 | |
| (814) 362-5701 | |
| (814) 362-5702 |
| Full Name | Kent James Costello |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 195 Pleasant St Unit 5, Bradford, Pennsylvania |
| 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 |
|---|---|---|---|
| 1992272033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 025316 (New York) | Secondary |
| 363A00000X | Physician Assistant | MA061922 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St James Hospital | Hornell, NY | Hospital |
| Jones Memorial Hospital | Wellsville, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St James Hospital | 0345154480 | 130 |
| Entity Name | St James Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013985399 PECOS PAC ID: 0345154480 Enrollment ID: O20031113000649 |
| Entity Name | Olean General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649296781 PECOS PAC ID: 9133111784 Enrollment ID: O20040401001531 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent James Costello, PA 908 Niagara Falls Blvd Ste 208, North Tonawanda, NY 14120-2019 Ph: (716) 799-1463 | Kent James Costello, PA 195 Pleasant St Unit 5, Bradford, PA 16701-1081 Ph: (814) 362-5701 |
Mr. James Boyer, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 54 Boylston St, 2nd Floor, Bradford, PA 16701 Phone: 814-368-1020 Fax: 814-368-1024 |
Tracy Lynn Andrus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Suite 32, Bradford, PA 16701 Phone: 814-363-8308 |
Mrs. Ashley Lynn Disney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 181 Interstate Parkway, Bradford, PA 16701 Phone: 814-362-4345 Fax: 814-362-1178 |
Rachel Marie Harten, PA-C, MHS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St Ste 320b, Bradford, PA 16701 Phone: 814-837-9350 |
Mary Siepierski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-4143 |
Dustin Michael Taylor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-368-4143 |
Lexandria Pascarella, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy Ste 41, Bradford, PA 16701 Phone: 814-363-9484 |