| Kevin Costello, CRNA | |
|
2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 | |
| (910) 907-8922 | |
| (910) 907-6069 |
| Full Name | Kevin Costello |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, North Carolina |
| 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 |
|---|---|---|---|
| 1184161994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN245934 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 006278 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firsthealth Moore Regional Hospital | Pinehurst, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firsthealth Of The Carolinas Inc | 8820909377 | 118 |
| Entity Name | Firsthealth Of The Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Costello, CRNA 2817 Rock Merrit Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 Ph: (910) 907-8922 | Kevin Costello, CRNA 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310-7324 Ph: (910) 907-8922 |
Mr. Kevin Travis Worth, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Avenue, Fort Liberty, NC 28310 Phone: 910-907-6036 | |
Allison Paige Martin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 336-529-0348 | |
Mr. Kristoffer Villamin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Hannah Hawkinson Melkun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 | |
Dr. Thomas Gerald Baughan Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave, Fort Liberty, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Randy James Landry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 Rock Merritt Ave Stop A, Fort Liberty, NC 28310 Phone: 910-907-6323 |