| Madelene Costello, MSN, APRN, FNP-BC | |
|
980 Georgetta Ln, Newark, TX 76071-3899 | |
| (509) 961-0271 | |
| Not Available |
| Full Name | Madelene Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 980 Georgetta Ln, Newark, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366131815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1021688 (Texas) | Primary |
| Entity Name | Regional Physician Services of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043529944 PECOS PAC ID: 6103183413 Enrollment ID: O20171121002683 |
| Entity Name | Americare Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124670443 PECOS PAC ID: 4082944491 Enrollment ID: O20190927002190 |
| Entity Name | Infinite Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20211019000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelene Costello, MSN, APRN, FNP-BC 3900 Grapevine Mills Pkwy Unit 2428, Grapevine, TX 76051-0929 Ph: Not Available | Madelene Costello, MSN, APRN, FNP-BC 980 Georgetta Ln, Newark, TX 76071-3899 Ph: (509) 961-0271 |
Macie Mcmurry, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Cheyenne Trl S, Newark, TX 76071 Phone: 682-239-8915 |
Maribel Mendoza Guerrero, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14355 Morris Dido Rd, Newark, TX 76071 Phone: 214-214-6831 |