Ann R Costello (NPI# 1235125626, PAC ID# 6507903606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1235125626 |
| PAC ID by PECOS | 6507903606 |
| Professional Enrollment ID | I20091022000103 |
| Full Name | Ann R Costello |
| Organization Legal Name | PRIMARY CARE INTERNAL MEDICINE OF ITHACA PLLC |
| Address |
217 N Aurora St Suite 2 Ithaca NY 14850-4345 |
| Phone Number | 6072732811 |
| Gender | F |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0244504405 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330307 | CAYUGA MEDICAL CENTER AT ITHACA |
| Address | Phone | Organization |
|---|---|---|
| 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 | 6072732811 | PRIMARY CARE INTERNAL MEDICINE OF ITHACA PLLC |
| Organization Legal Name | PRIMARY CARE INTERNAL MEDICINE OF ITHACA PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Louise Griffin | Internal Medicine | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| Stephanie Gumaer | Clinical Social Worker | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| Lucia Jander | Internal Medicine | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| Street Address |
217 N AURORA ST SUITE 2 |
| City | ITHACA |
| State | NY |
| Zip | 14850-4345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith Louise Griffin | Internal Medicine | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| Stephanie Gumaer | Clinical Social Worker | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| Lucia Jander | Internal Medicine | Primary Care Internal Medicine of Ithaca Pllc | 217 N Aurora St, Suite 2, Ithaca, NY 14850-4345 |
| John E Costello | Internal Medicine | 217 N Aurora St, Ithaca, NY 14850-4345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Anne Vargas | Clinical Social Worker | Dewitt Mall 215 N Cayuga St, Suite 77, Ithaca, NY 14850 | |
| Ashlin M Thuman | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Brian S Marino | Cardiovascular Disease (cardiology) | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Sara Schewel Foster | Nurse Practitioner | Cayuga Medical Associates PC | 2432 N Triphammer Rd, Ithaca, NY 14850-1014 |
| Paula Fitzsimmons | Physician Assistant | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Diana M Stephens | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Marie A Harkins | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Suite C, Ithaca, NY 14850-1016 |
| Lori Davis | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Alexandra T Burch | Nurse Practitioner | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Brad A Yentzer | Dermatology | Cayuga Medical Associates PC | 1020 Craft Rd, Ithaca, NY 14850-1016 |
| Find all physicians in zip 14850 | |||
| City | ITHACA |
| Zip Code | 14850 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ITHACA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ann R 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.