Mr. Edward T Costello, PA
Mr. Edward T Costello, PA is a Physician Assistant in Malvern, Arkansas. Qualified in 2004, 22 years ago. Practices with Covenant Health LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 22
- Licensed in
- AR
- In the registry since
- 2006
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1002 Schneider Dr Ste 104Malvern, AR 72104-4816
Phone: (501) 332-7981
Fax: (501) 337-9964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-251 (AR) |
|---|
Record details
| NPI number | 1730104340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | July 13, 2006 |
| Last updated in NPPES | May 17, 2021 |
| Certification date | May 17, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Covenant Health Llc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Malvern
-
Mrs. Leah Harmon Costello, PA
1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 · (501) 332-7981
-
Haley Beth Hobson, PA-C
1308 E Page Ave, Malvern, AR 72104-4518 · (501) 337-9820
-
MS. Dara M Mooney, PA-C
1003 Schneider Dr, Malvern, AR 72104-4811 · (501) 337-5678