Mr Gus Angelo Kostas Jr, MS, CRNP is a
Nurse Practitioner - Family based in Sharpsville, Pennsylvania. Mr Gus Angelo Kostas Jr is licensed to practice in Pennsylvania (license number TP006397B) and his current practice location is
1523 W Ridge Ave, Sharpsville, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 456-7742.
NPI number for Mr Gus Angelo Kostas Jr is 1346225265 and his current mailing address is 1523 W Ridge Ave, Sharpsville, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346225265.
Provider's Profile
| Full Name | Mr Gus Angelo Kostas Jr |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1523 W Ridge Ave, Sharpsville, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346225265
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 11/01/2013
Medical Identifiers
Medical identifiers for Mr Gus Angelo Kostas Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346225265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 1114946 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | TP006397B (Pennsylvania) | Primary |
| 363LF0000X | Nurse Practitioner - Family | NP-06532 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP1977 (Arizona) | Secondary |
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. Mr Gus Angelo Kostas 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 Address | Practice Location Address |
Mr Gus Angelo Kostas Jr, MS, CRNP 1523 W Ridge Ave, Sharpsville, PA 16150-1066 Ph: (724) 456-7742 | Mr Gus Angelo Kostas Jr, MS, CRNP 1523 W Ridge Ave, Sharpsville, PA 16150-1066 Ph: (724) 456-7742 |
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