Lisa Marie Costello, MD, MPH - Medicare Internal Medicine in Morgantown, WV

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Lisa Marie Costello, MD, MPH is a medicare enrolled "Internal Medicine" physician in Morgantown, West Virginia. Her current practice location is 1 Stadium Drive, Morgantown, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 598-4000.

Lisa Marie Costello is licensed to practice in West Virginia (license number 25300) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356634927.

Contact Information

Lisa Marie Costello, MD, MPH
1 Stadium Drive,
Morgantown, WV 26506
(304) 598-4000
Not Available

Map and Direction




Physician's Profile

Full NameLisa Marie Costello
GenderFemale
SpecialityInternal Medicine
Location1 Stadium Drive, Morgantown, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356634927
  • Provider Enumeration Date: 05/16/2011
  • Last Update Date: 04/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921328865
  • Enrollment ID: I20150518000897

Medical Identifiers

Medical identifiers for Lisa Marie Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356634927NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25300 (West Virginia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Lisa Marie Costello allows following entities to bill medicare on her behalf.
Entity NameWest Virginia University Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275504508
PECOS PAC ID: 1052224565
Enrollment ID: O20031111000207
Entity NameWheeling Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548923923
PECOS PAC ID: 5799689493
Enrollment ID: O20031124000706
Entity NameCity Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942503164
PECOS PAC ID: 3375444524
Enrollment ID: O20040120000306
Entity NameReynolds Memorial Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518068014
PECOS PAC ID: 9830184530
Enrollment ID: O20040420000896

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. Lisa Marie 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 AddressPractice Location Address
Lisa Marie Costello, MD, MPH
1 Stadium Drive,
Morgantown, WV 26506

Ph: (304) 598-4000		Lisa Marie Costello, MD, MPH
1 Stadium Drive,
Morgantown, WV 26506

Ph: (304) 598-4000

Reviews and Comments


Internal Medicine Doctors in Morgantown, WV

Rohma Shamsi, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Drive, Morgantown, WV 26506
Phone: 304-293-4125    
Islam Younes,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 855-988-2273    
Dr. David Weissman, M. D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Drive, Morgantown, WV 26506
Phone: 304-598-4800    Fax: 304-293-6963
Dr. Madhavi Kadiyala, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 304-598-4000    
Dr. Swapna Gayam, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Drive, Morgantown, WV 26506
Phone: 304-293-4123    Fax: 304-293-2135
Monika Maximilliane Holbein, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 304-594-4000    
Nour Daboul, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Morgantown, WV 26506
Phone: 855-988-2273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.