Dr Justin Costa, DO - Pediatrics in Frederick, MD

Dr Justin Costa, DO is a Pediatrics physician based in Frederick, Maryland. Dr Justin Costa is licensed to practice in Maryland (license number H0082753) and his current practice location is 1475 Taney Ave Ste 201, Frederick, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 662-0133.

NPI number for Dr Justin Costa is 1700114378 and his current mailing address is 1475 Taney Ave Ste 201, Frederick, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700114378.

Contact Information

Dr Justin Costa, DO
1475 Taney Ave Ste 201,
Frederick, MD 21702-5126
(301) 662-0133
Not Available



Physician's Profile

Full NameDr Justin Costa
GenderMale
SpecialityPediatrics
Location1475 Taney Ave Ste 201, Frederick, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700114378
  • Provider Enumeration Date: 11/19/2009
  • Last Update Date: 07/30/2021

Medical Identifiers

Medical identifiers for Dr Justin Costa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700114378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0102202786 (Virginia)Secondary
208000000XPediatrics H0082753 (Maryland)Primary

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. Dr Justin Costa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Justin Costa, DO
1475 Taney Ave Ste 201,
Frederick, MD 21702-5126

Ph: (301) 662-0133
Dr Justin Costa, DO
1475 Taney Ave Ste 201,
Frederick, MD 21702-5126

Ph: (301) 662-0133

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› Verified 2 days ago


Pediatrics Doctors in Frederick, MD

Joyce J Ghiorzi, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1475 Taney Ave, Suite 201, Frederick, MD 21702
Phone: 301-662-1930    Fax: 240-379-6710
Dr. Keith B St. Amand, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 87 Thomas Johnson Dr, Suite 101, Frederick, MD 21702
Phone: 301-694-0606    Fax: 301-662-6928
Dr. Susan J Chaitovitz I, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1475 Taney Ave, Suite 201, Frederick, MD 21702
Phone: 301-662-0133    Fax: 240-379-6710
Amy Marie Raynes, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 400 W Seventh St, Frederick, MD 21701
Phone: 240-566-3251    
Dr. Bharti Razdan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 400 W 7th St, Nicu, Frederick Memorial Hospital, Frederick, MD 21701
Phone: 240-566-3582    Fax: 240-566-3061
Leena Shrivastava Dev, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702
Phone: 301-694-0606    Fax: 301-662-6928
Bophany Chea, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 87 Thomas Johnson Dr Ste 101, Frederick, MD 21702
Phone: 301-694-0606    Fax: 301-662-6928

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