| Mr Kevin Robert Costello, PA | |
|
458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 | |
| (603) 924-2144 | |
| Not Available |
| Full Name | Mr Kevin Robert Costello |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 458 Old Street Rd, Peterborough, New Hampshire |
| 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 |
|---|---|---|---|
| 1861441545 | NPI | - | NPPES |
| 30338176 | Medicaid | NH | |
| 0017075 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Monadnock Community Hospital | Peterborough, NH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Monadnock Community Hospital | 7416933031 | 67 |
| Entity Name | Monadnock Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881676104 PECOS PAC ID: 7416933031 Enrollment ID: O20040625000075 |
| Entity Name | Monadnock Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457304149 PECOS PAC ID: 7416933031 Enrollment ID: O20061104000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Robert Costello, PA 458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 Ph: (603) 924-2144 | Mr Kevin Robert Costello, PA 458 Old Street Rd, Suite 200, Peterborough, NH 03458-1265 Ph: (603) 924-2144 |
Brittany Molino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 458 Old Street Rd Ste 200, Peterborough, NH 03458 Phone: 603-924-2144 |
Rayne M. Loder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 452 Old Street Rd, Peterborough, NH 03458 Phone: 603-924-7191 |
Mr. Daniel Ralph Salvadore Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 452 Old Street Rd, Peterborough, NH 03458 Phone: 603-924-7191 |