Daniel G Costello (NPI# 1063415156, PAC ID# 3678527066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063415156 |
| PAC ID by PECOS | 3678527066 |
| Professional Enrollment ID | I20181030002940 |
| Full Name | Daniel G Costello |
| Organization Legal Name | R LYNN CARLSON MD PC MEDICENTER |
| Address |
10543 Kenai Spur Hwy Kenai AK 99611-7812 |
| Phone Number | 9072839118 |
| Gender | M |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9830084177 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 | 9072839118 | R LYNN CARLSON MD PC MEDICENTER |
| 1526 Cole Blvd, Suite 300, Lakewood, CO 80401-3410 | 7205481194 | PHYSICIAN HOUSECALLS LLC |
| Organization Legal Name | R LYNN CARLSON MD PC MEDICENTER |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Streich | Physician Assistant | R Lynn Carlson Md PC Medicenter | 100 Trading Bay Rd, Suite 8, Kenai, AK 99611-7786 |
| Cherie M Inglis | Family Medicine | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Ray Lynn Carlson | Family Medicine | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Tamara A Brothers Mcneil | Physician Assistant | R Lynn Carlson Md PC Medicenter | 100 Trading Bay Rd, Suite 8, Kenai, AK 99611-7786 |
| Jeffrey L Carlson | Podiatry | R Lynn Carlson Md PC Medicenter | 100 Trading Bay Rd, Suite 8, Kenai, AK 99611-7786 |
| Carol L Klamser | Nurse Practitioner | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Jared L Wallace | Physician Assistant | R Lynn Carlson Md PC Medicenter | 100 Trading Bay Rd, Suite 8, Kenai, AK 99611-7786 |
| Samuel H Schurig | Family Practice | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Street Address |
10543 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip | 99611-7812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherie M Inglis | Family Medicine | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Ray Lynn Carlson | Family Medicine | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Carol L Klamser | Nurse Practitioner | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Samuel H Schurig | Family Practice | R Lynn Carlson Md PC Medicenter | 10543 Kenai Spur Hwy, Kenai, AK 99611-7812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James V Zirul | Otolaryngology | 220 Spur View Dr, Kenai, AK 99611-6880 | |
| Christine M Babcock | Nurse Practitioner | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Michael Brandon Hall | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Allison J Smith | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Danal Sue Snyder | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Lorri Cherie Palm | Physician Assistant | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Kristen L Coletti Giesler | Nurse Practitioner | 508 S Willow St, Suite C, Kenai, AK 99611-6940 | |
| Joseph W Keith | Chiropractic | 135 Bidarka St B, Kenai, AK 99611-7741 | |
| Garret L Sitenga | Ophthalmology | 115 Bidarka St, Kenai, AK 99611-7741 | |
| Kenneth S Hahn | Family Medicine | 416 Frontage Rd, Suite 200, Kenai, AK 99611-7770 | |
| Find all physicians in zip 99611 | |||
| City | KENAI |
| Zip Code | 99611 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KENAI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Daniel G Costello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.