Gaston Da Costa is a Lexington, Kentucky based neurologist with 32 years of experience in Neurology. He completed his graduation in 1992. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gaston Da Costa is 59121 for Clinical Neurophysiology in Kentucky. His current practice location is 740 S Limestone Ste B101, Lexington. Patients can reach him at 859-323-5661 or can fax him at 859-323-6411. Gaston Da Costa is MD in Neurology and his NPI number (Unique professional ID assigned by NPPES) is 1902011158. Gaston Da Costa specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Gaston Da Costa speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Gaston Da Costa
Specialization:
Neurology
Gender:
Male
Credentials:
MD
Experience:
32+ years
Medical School Attended:
Other
Graduation Year:
1992
Accepts Medicare Assignment:
Yes
Practice Address:
740 S Limestone Ste B101, Lexington, Kentucky, 40536-8947
Phone:
859-323-5661
Fax:
859-323-6411
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5193825073
Enrollment ID:
I20141209001591
NPI Number:
1902011158
NPI Enumeration Date:
11 May, 2007
NPI Last Update On:
29 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gaston Da Costa are as mentioned below.
License Number
Specialization
State
Status
59121
Clinical Neurophysiology
Kentucky
Primary
11010836A
Neurology
Indiana
Secondary
01063806A
Neurology
Indiana
Secondary
MD463417
Neurology
Pennsylvania
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(390067)
Harrisburg, PA
Acute Care Hospital
(110198)
Roswell, GA
Acute Care Hospital
(060132)
Highlands ranch, CO
Acute Care Hospital
(150005)
Danville, IN
Acute Care Hospital
(110011)
Carrollton, GA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gaston Da Costa is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Neuromonitoring Services Of America , Inc (1850452905)
16
Wellstar Medical Group, Llc (6709065402)
1658
Pinnacle Health Medical Services (7618960493)
819
Denver Health And Hospital Authority (4688583578)
603
Neuromonitoring Services Of America , Inc (1850452905)
16
Neuromonitoring Services Of America , Inc (1850452905)
16
Neuromonitoring Services Of America , Inc (1850452905)
16
Other Medical Identifiers:
Other legacy medical identifiers associated with Gaston Da Costa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
P00787953
Other
Indiana
RAILROAD MEDICARE PTAN
200860440
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Gaston Da Costa 250 N Shadeland Ave, Ste 130 Provider Enrollment Indianapolis, Indiana
Zip:
46219-4959
Patients can reach Gaston Da Costa at 740 S Limestone Ste B101, Lexington, Kentucky or can call to book an appointment on 859-323-5661.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.