Connor Costales, in Concord, MA - Medicare Physical Therapist Provider

Connor Costales, is a medicare enrolled "Physical Therapist - Sports" provider in Concord, Massachusetts. His current practice location is 50 Beharrell St Ste D, Concord, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 932-1027.

Connor Costales is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053172072.

Contact Information

	Connor Costales,
	50 Beharrell St Ste D, Concord, MA 01742-1750
	(617) 932-1027
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connor Costales
Gender	Male
Speciality	Physical Therapist - Sports
Location	50 Beharrell St Ste D, Concord, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053172072
Provider Enumeration Date: 01/17/2024
Last Update Date: 01/17/2024

Medicare PECOS Information:

PECOS PAC ID: 6507203171
Enrollment ID: I20240319003119

Medical Identifiers

Medical identifiers for Connor Costales such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053172072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251S0007X	Physical Therapist - Sports	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connor Costales allows following entities to bill medicare on his behalf.

Provider Name	Premier Performance Physical Therapy And Sports Medicine, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508392515 PECOS PAC ID: 0446517981 Enrollment ID: O20171208000011

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. Connor Costales is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Connor Costales, 107 College Rd, Concord, MA 01742-1526 Ph: () -	Connor Costales, 50 Beharrell St Ste D, Concord, MA 01742-1750 Ph: (617) 932-1027

Reviews and Comments

Physical Therapist in Concord, MA

Physical Therapy Assoc Of Concord Physical Therapist Medicare: Medicare Enrolled Practice Location: 290 Baker Ave, Ste 111, Concord, MA 01742 Phone: 978-369-0730 Fax: 978-371-7499
Caitlin Dibiasie, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Baker Ave Ste N111, Concord, MA 01742 Phone: 978-369-0730
Mary D Zupkus, PTMPA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 290 Baker Ave., Suite 111, Concord, MA 01742 Phone: 978-369-0730 Fax: 978-371-7499
Andrea Michelle Coyne-murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Pond Lane, Damonmill Sq, Concord, MA 01742 Phone: 978-369-9996 Fax: 978-371-2516
Dr. Katherine Rose Romero, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 91 Main St, Concord, MA 01742 Phone: 978-341-8689
Melissa Bloch, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 290 Baker Ave, Concord, MA 01742 Phone: 978-369-0730

Connor Costales, - Medicare Physical Therapist in Concord, MA