| Stefanie Costello, PA-C | |
|
350 Forest St, Raynham, MA 02767-1126 | |
| (508) 824-5231 | |
| Not Available |
| Full Name | Stefanie Costello |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 350 Forest St, Raynham, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881096683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA5132 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Wellness Centers Llc | 2860536919 | 39 |
| Entity Name | Total Wellness Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770816506 PECOS PAC ID: 2860536919 Enrollment ID: O20100628000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie Costello, PA-C 350 Forest St, Raynham, MA 02767-1126 Ph: Not Available | Stefanie Costello, PA-C 350 Forest St, Raynham, MA 02767-1126 Ph: (508) 824-5231 |
Catherine Green, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr, Suite 203, Raynham, MA 02767 Phone: 508-880-0012 |
Rebecca Lee Amaral, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1215 Broadway, Raynham, MA 02767 Phone: 508-894-0400 Fax: 508-894-0412 |
Alaina Bebis Annichiarico, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr, Raynham, MA 02767 Phone: 508-880-0012 Fax: 866-262-4460 |
Jordan Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 New State Hwy, Raynham, MA 02767 Phone: 781-666-2711 Fax: 781-666-2712 |
Courtney R Fuller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 617-798-6500 Fax: 617-798-6500 |
Lauren Beth Wenzl, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 New State Hwy, Raynham, MA 02767 Phone: 718-666-2711 Fax: 718-666-2712 |
Brendan Ryan, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 675 Paramount Dr, 203, Raynham, MA 02767 Phone: 508-880-0012 Fax: 508-880-0032 |