Dr Michael W Costello, MD in Smithsburg, MD

Dr Michael W Costello, MD is a medicare enrolled "Family Medicine" physician in Smithsburg, Maryland. He went to Pennsylvania State University College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Medical Practices Of Antietam, Llc and his current practice location is 22911 Jefferson Blvd, Smithsburg, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 824-3343.

Dr Michael W Costello is licensed to practice in Maryland (license number D0041378) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740250125.

Contact Information

	Dr Michael W Costello, MD
	22911 Jefferson Blvd, Smithsburg, MD 21783-1617
	(301) 824-3343
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Michael W Costello
Gender	Male
Speciality	Family Practice
Experience	39 Years
Location	22911 Jefferson Blvd, Smithsburg, Maryland
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael W Costello attended and graduated from Pennsylvania State University College Of Medicine in 1985

NPI Data:

NPI Number: 1740250125
Provider Enumeration Date: 01/26/2006
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4082740931
Enrollment ID: I20100330000608

Medical Identifiers

Medical identifiers for Dr Michael W Costello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740250125	NPI	-	NPPES
1621121	Other		UNITED
522924-09	Other		CAREFIRST BCBS MARYLAND
W567-0012	Other		CAREFIRST BCBS GHMSI
168371300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	D0041378 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Home Call - Frederick	Frederick, MD	Home health agency
Frederick Health Hospital	Frederick, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Practices Of Antietam, Llc	2567353865	183

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Michael W Costello allows following entities to bill medicare on his behalf.

Entity Name	Medical Practices Of Antietam, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558430843 PECOS PAC ID: 2567353865 Enrollment ID: O20040324001019

Entity Name	Frederick Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619258225 PECOS PAC ID: 9931341096 Enrollment ID: O20130820000555

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 Michael W Costello is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Michael W Costello, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: () -	Dr Michael W Costello, MD 22911 Jefferson Blvd, Smithsburg, MD 21783-1617 Ph: (301) 824-3343

Dr Michael W Costello, MD - Medicare Family Practice in Smithsburg, MD